Short-Term Outcomes Following Open Versus Minimally Invasive Esophagectomy for Cancer in England

2012 ◽  
Vol 255 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Ravikrishna Mamidanna ◽  
Alex Bottle ◽  
Paul Aylin ◽  
Omar Faiz ◽  
George B. Hanna
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Short Term ◽  
Invasive Esophagectomy ◽  
Open Versus ◽  
Esophagectomy For Cancer

384 SHORT-TERM OUTCOMES OF INTRA-THORACIC ESOPHAGO-GASTRIC ANASTOMOSES UNDER MINIMALLY INVASIVE ESOPHAGECTOMY VIA A PRONE POSITION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Shinji Mine ◽  
Masayuki Watanabe ◽  
Atushi Kanamori ◽  
Yu Imamura ◽  
Akihiko Okamura ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anastomotic Stricture ◽  
Minimally Invasive Esophagectomy ◽  
Anterior Wall ◽  
Gastric Conduit ◽  
Linear Stapler ◽  
Short Term ◽  
Invasive Esophagectomy ◽  
Operative Complications ◽  
Gastric Anastomosis

Abstract   Although minimally invasive esophagectomy (MIE) has been performed for esophageal cancer worldwide, intra-thoracic anastomosis under prone positions is still challenging. In this retrospective study, we reviewed our short-term results of this anastomotic technique in our institution. Methods From November 2016 to December 2019, we performed 319 esophagectomies. Of these patients, 28 patients (9%) underwent intra-thoracic esophago-gastric anastomosis under MIE. Procedures The left side of an esophageal stump which had been closed using a linear stapler was opened for anastomosis. Then, the anterior wall of a gastric conduit, around 5 cm below the tip, was opened for anastomosis. Linear staplers were inserted in both esophageal stump and gastric conduit and side-to-side anastomosis was performed. The opening for insertion was closed using a hand-sewn anastomosis in 2 layers. Results Five patients (18%) suffered anastomotic leakage with Clavien-Dindo 2 and 3a, and all of them recovered by conservative treatments. Two patients (2/19, 11%) showed anastomotic stricture which improved by several endoscopic dilatations. Six patients (6/19, 32%) showed the reflux esophagitis of Grade C. Conclusion Although we have not experienced severe or critical post-operative complications, the short-term results of intra-thoracic anastomosis under MIE were not sufficient. Additional progresses in techniques are required.

scholarly journals Micronutrient Deficiencies Following Minimally Invasive Esophagectomy for Cancer

Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 778
Author(s):  
Henricus J.B. Janssen ◽  
Laura F.C. Fransen ◽  
Jeroen E.H. Ponten ◽  
Grard A.P. Nieuwenhuijzen ◽  
Misha D.P. Luyer
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Survival Rates ◽  
Micronutrient Deficiencies ◽  
Postoperative Evaluation ◽  
Invasive Esophagectomy ◽  
Resectable Esophageal ◽  
Resectable Esophageal Cancer ◽  
Esophagectomy For Cancer

Over the past decades, survival rates for patients with resectable esophageal cancer have improved significantly. Consequently, the sequelae of having a gastric conduit, such as development of micronutrient deficiencies, become increasingly apparent. This study investigated postoperative micronutrient trends in the follow-up of patients following a minimally invasive esophagectomy (MIE) for cancer. Patients were included if they had at least one postoperative evaluation of iron, ferritin, vitamins B1, B6, B12, D, folate or methylmalonic acid. Data were available in 83 of 95 patients. Of these, 78.3% (65/83) had at least one and 37.3% (31/83) had more than one micronutrient deficiency at a median of 6.1 months (interquartile range (IQR) 5.4–7.5) of follow-up. Similar to the results found in previous studies, most common deficiencies identified were: iron, vitamin B12 and vitamin D. In addition, folate deficiency and anemia were detected in a substantial amount of patients in this cohort. At 24.8 months (IQR 19.4–33.1) of follow-up, micronutrient deficiencies were still common, however, most deficiencies normalized following supplementation on indication. In conclusion, patients undergoing a MIE are at risk of developing micronutrient deficiencies as early as 6 up to 24 months after surgery and should therefore be routinely checked and supplemented when needed.

scholarly journals McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

2017 ◽  
Vol 9 (S8) ◽  
pp. S826-S833 ◽  
Author(s):  
Frans van Workum ◽  
Gijs H. Berkelmans ◽  
Bastiaan R. Klarenbeek ◽  
Grard A. P. Nieuwenhuijzen ◽  
Misha D. P. Luyer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Meta Analysis ◽  
Gastroesophageal Junction ◽  
Ivor Lewis ◽  
Invasive Esophagectomy ◽  
Cancer Of The Esophagus ◽  
Esophagectomy For Cancer

Standardizing procedures improves and homogenizes short-term outcomes after minimally invasive esophagectomy

2018 ◽  
Vol 403 (2) ◽  
pp. 221-234 ◽  
Author(s):  
Taro Oshikiri ◽  
Tetsu Nakamura ◽  
Hiroshi Hasegawa ◽  
Masashi Yamamoto ◽  
Shingo Kanaji ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Short Term ◽  
Invasive Esophagectomy

Conversion to open surgery during minimally invasive esophagectomy portends worse short-term outcomes: an analysis of the National Cancer Database

2019 ◽  
Vol 34 (8) ◽  
pp. 3470-3478
Author(s):  
Alison L. Halpern ◽  
Chloe Friedman ◽  
Robert J. Torphy ◽  
Mohammed H. Al-Musawi ◽  
John D. Mitchell ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Open Surgery ◽  
Minimally Invasive Esophagectomy ◽  
National Cancer Database ◽  
Short Term ◽  
Conversion To Open Surgery ◽  
Invasive Esophagectomy

Esophageal Position Affects Short-Term Outcomes After Minimally Invasive Esophagectomy: A Retrospective Multicenter Study

2019 ◽  
Vol 44 (3) ◽  
pp. 831-837 ◽  
Author(s):  
Tomoyuki Uchihara ◽  
Naoya Yoshida ◽  
Yoshifumi Baba ◽  
Yuichiro Nakashima ◽  
Yasue Kimura ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Multicenter Study ◽  
Minimally Invasive Esophagectomy ◽  
Short Term ◽  
Invasive Esophagectomy ◽  
Retrospective Multicenter Study

Extracorporeal Gastric Stapling Reduces the Incidence of Gastric Conduit Failure after Minimally Invasive Esophagectomy

2010 ◽  
Vol 76 (8) ◽  
pp. 823-828 ◽  
Author(s):  
Gregory D. Crenshaw ◽  
Suven S. Shankar ◽  
Russell E. Brown ◽  
Abbas E. Abbas ◽  
John S. Bolton
Keyword(s):  
Minimally Invasive ◽  
Anastomotic Leak ◽  
Operative Mortality ◽  
Minimally Invasive Esophagectomy ◽  
Gastric Conduit ◽  
Short Term ◽  
Simple Modification ◽  
Invasive Esophagectomy ◽  
Clinic Foundation ◽  
Significant Difference

Esophageal cancer resection is associated with significant morbidity and mortality. To date, no standardized technique exists. In this study, we analyze our short-term results in 92 minimally invasive resections performed over the past 10 years in an attempt to identify technical factors, which contribute to improved short-term outcomes. A retrospective review of 92 minimally invasive esophagectomies was performed at the Ochsner Clinic Foundation from 1999 through 2009. Data collected included preoperative stage, whether or not preoperative chemoradiation was used, technique of minimally-invasive resection, technique of esophagogastric anastomosis, margin status, anastomotic leak, conduit necrosis, gastric conduit failure of any type, and operative mortality. Gastric stapling was done either laparoscopically (intracorporeal) or through a minilaparotomy (extracorporeal). Ninety-two patients met criteria for this study. There was a significant difference in the incidence of positive gastric margins ( P = 0.04), anastomotic leak ( P = 0.045), conduit necrosis ( P = 0.03), and any gastric conduit failure ( P = 0.02) favoring the extracorporeal group. The overall short-term morbidity and operative mortality with minimally invasive esophagectomy is comparable to the results obtained with open techniques. A relatively simple modification of the operative technique—performing extracorporeal stapling of the gastric conduit—led to a significant reduction in the incidence of gastric conduit failures when compared with the intracorporeal stapling technique.

scholarly journals Preservation of replaced left hepatic artery during 3D laparoscopic totally minimally invasive esophagectomy for cancer

2019 ◽  
Vol 7 (9) ◽  
pp. 1787-1788
Author(s):  
Athanasios Syllaios ◽  
Spyridon Davakis ◽  
Elias Sdralis ◽  
Stamatios Petousis ◽  
Bruno Lorenzi ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Hepatic Artery ◽  
Minimally Invasive Esophagectomy ◽  
Left Hepatic Artery ◽  
Invasive Esophagectomy ◽  
Esophagectomy For Cancer
Sign in / Sign up

Export Citation Format

Share Document