Minimally invasive esophagectomy: current status and future direction

Minimally invasive esophagectomy (MIE) was introduced in the 1990s with the aim to decrease the rate of respiratory complications associated with thoracotomy, along with the benefits of reduced morbidity and a quicker return to normal activities provided by minimally invasive techniques. However, MIE is not routinely applied as a standard approach for esophageal cancer worldwide, due to the high technical complexity of this minimally invasive procedure. Therefore, the open transthoracic esophagectomy is considered to be the gold standard for resectable esophageal cancer worldwide nowadays. In this article, the current status of conventional MIE and robot-assisted minimally invasive thoraco-laparoscopic esophagectomy will be reviewed.

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Current Status and Future Perspectives on Minimally Invasive Esophagectomy

The Korean Journal of Thoracic and Cardiovascular Surgery ◽

10.5090/kjtcs.2013.46.4.241 ◽

2013 ◽

Vol 46 (4) ◽

pp. 241-248 ◽

Cited By ~ 13

Author(s):

Hirofumi Kawakubo ◽

Hiryoya Takeuchi ◽

Yuko Kitagawa

Keyword(s):

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Current Status ◽

Future Perspectives ◽

Invasive Esophagectomy

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Current status of robot-assisted minimally invasive esophagectomy: what is the real benefit?

Surgery Today ◽

10.1007/s00595-021-02432-0 ◽

2021 ◽

Author(s):

Jun Kanamori ◽

Masayuki Watanabe ◽

Suguru Maruyama ◽

Yasukazu Kanie ◽

Daisuke Fujiwara ◽

...

Keyword(s):

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Current Status ◽

Robot Assisted ◽

The Real ◽

Invasive Esophagectomy

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Faculty Opinions recommendation of The impact of tidal volume on pulmonary complications following minimally invasive esophagectomy: a randomized and controlled study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718095813.793484608 ◽

2013 ◽

Author(s):

Andreas Hoeft

Keyword(s):

Minimally Invasive ◽

Tidal Volume ◽

Minimally Invasive Esophagectomy ◽

Pulmonary Complications ◽

Controlled Study ◽

Invasive Esophagectomy ◽

The Impact

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European consensus on essential steps of Minimally Invasive Ivor Lewis and McKeown Esophagectomy through Delphi methodology

Surgical Endoscopy ◽

10.1007/s00464-021-08304-5 ◽

2021 ◽

Author(s):

Yassin Eddahchouri ◽

◽

Frans van Workum ◽

Frits J. H. van den Wildenberg ◽

Mark I. van Berge Henegouwen ◽

...

Keyword(s):

Minimally Invasive ◽

Expert Panel ◽

Minimally Invasive Esophagectomy ◽

Round Table ◽

Round Table Discussion ◽

Ivor Lewis ◽

Delphi Methodology ◽

Invasive Esophagectomy ◽

European Consensus ◽

Mckeown Esophagectomy

Abstract Background Minimally invasive esophagectomy (MIE) is a complex and technically demanding procedure with a long learning curve, which is associated with increased morbidity and mortality. To master MIE, training in essential steps is crucial. Yet, no consensus on essential steps of MIE is available. The aim of this study was to achieve expert consensus on essential steps in Ivor Lewis and McKeown MIE through Delphi methodology. Methods Based on expert opinion and peer-reviewed literature, essential steps were defined for Ivor Lewis (IL) and McKeown (McK) MIE. In a round table discussion, experts finalized the lists of steps and an online Delphi questionnaire was sent to an international expert panel (7 European countries) of minimally invasive upper GI surgeons. Based on replies and comments, steps were adjusted and rephrased and sent in iterative fashion until consensus was achieved. Results Two Delphi rounds were conducted and response rates were 74% (23 out of 31 experts) for the first and 81% (27 out of 33 experts) for the second round. Consensus was achieved on 106 essential steps for both the IL and McK approach. Cronbach’s alpha in the first round was 0.78 (IL) and 0.78 (McK) and in the second round 0.92 (IL) and 0.88 (McK). Conclusions Consensus among European experts was achieved on essential surgical steps for both Ivor Lewis and McKeown minimally invasive esophagectomy.

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