Video-assisted thoracoscopic esophagectomy: keynote lecture

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Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.

Original languageEnglish
Pages (from-to)380-5
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Issue number7
Publication statusPublished - Jul 2016


  • Esophageal Neoplasms
  • Esophagectomy
  • Humans
  • Journal Article
  • Lectures
  • Neoadjuvant Therapy
  • Quality of Life
  • Review
  • Thoracic Surgery, Video-Assisted
  • Treatment Outcome

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