Skip to main content

Advertisement

SpringerLink
Log in

Comparison of three-field esophagectomy for esophageal cancer incorporating open or thoracoscopic thoracotomy

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: Thoracoscopic esophagectomy for esophageal cancer has been performed as an alternative to open surgery to reduce surgical trauma. However, its effect on pulmonary function, exercise tolerability, and quality of life is unknown. Methods: Fifty-one patients with esophageal cancer underwent thoracic esophagectomy with radical lymphadenectomy by posterolateral thoracotomy (29 cases) or thoracoscopic surgery (22 cases). Patients performed spirometry and exercise tolerance testing and completed a quality-of-life questionnaire before and 3 months after surgery. Results: Pre-to-postoperative change in vital capacity was 74.3 ± 10.6% in the thoracotomy group and 84.9 ± 10.4% in the thoracoscopy group (p = 0.021). Maximum oxygen uptake was similar, but dyspnea was the more common factor limiting exercise tolerance postoperatively in the thoracotomy group. Change in pre-to-postoperative performance status was 1.20 ± 0.62 in the thoracotomy group and 0.55 ± 0.51 in the thoracoscopy group (p = 0.0003). Conclusions: Thoracoscopic esophagectomy for esophageal cancer has better preservation of pulmonary function and quality-of-life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. H Akiyama M Tsurumaru H Udagawa Y Kajiyama (1994) ArticleTitleRadical lymph node dissection for cancer of the thoracic esophagus. Ann Surg 220 364–373 Occurrence Handle1:STN:280:ByuA2sbos10%3D Occurrence Handle8092902

    CAS  PubMed  Google Scholar 

  2. T Akaishi I Kaneda N Higuchi Y Kuriya J Kuramoto T Toyoda A Wakabayashi (1996) ArticleTitleThoracoscopic en block total esophagectomy with radical mediastinal lymphadenectomy. J Thorac Cardiovasc Surg 112 1533–1541 Occurrence Handle1:STN:280:ByiC38bps10%3D Occurrence Handle8975845

    CAS  PubMed  Google Scholar 

  3. T Crozier M Sydow R Siewert Y Braun (1992) ArticleTitlePostoperative pulmonary complication rate and long-term changes in respiratory function following esophagectomy with esophagogastrostomy. Acta Anaesthesiol Scand 36 10–15 Occurrence Handle1:STN:280:By2C2s%2FisFI%3D Occurrence Handle1539470

    CAS  PubMed  Google Scholar 

  4. A Cuschieri S Shimi S Bangtang (1992) ArticleTitleEndoscopic oesophagectomy through a right thorascopic approach. J Roy Coll Surg Edinb 37 7–11 Occurrence Handle1:STN:280:By2B2czkt1U%3D Occurrence Handle1573620

    CAS  PubMed  Google Scholar 

  5. S Dexter I Martin M McMahon (1996) ArticleTitleRadical thoracoscopic esophagectomy for cancer. Surg Endosc 10 147–151 Occurrence Handle10.1007/s004649910034 Occurrence Handle1:STN:280:ByiD1cnkt1c%3D Occurrence Handle8932617

    Article  CAS  PubMed  Google Scholar 

  6. H Fujita T Kakegawa H Yamana I Shima Y Toh Y Tomita T Fujii K Yamasaki K Higaki T Noake N Ishibashi K Mizutani (1995) ArticleTitleMortality and morbidity rates, postoperative course, quality of life, and prognosis after extended radical lymphadenectomy for esophageal cancer. Ann Surg 222 654–662 Occurrence Handle1:STN:280:BymD28npvVY%3D Occurrence Handle7487213

    CAS  PubMed  Google Scholar 

  7. H Kanamaru (1984) ArticleTitleExtravascular lung water content following thoracic vagotomy: Experimental investigation in relation to the cause of pulmonary complication after surgery for esophageal cancer. Jpn J Surg 85 119–131 Occurrence Handle1:STN:280:BiuB2s%2Fis10%3D

    CAS  Google Scholar 

  8. RJ Landreneau MJ Mack SR Hazelrigg K Naunheim RD Dowling P Ritter M Magee S Nunchuck R Keenan P Ferson (1994) ArticleTitlePrevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J Thorac Cardiovasc Surg 107 1079–1086 Occurrence Handle1:STN:280:ByuB3M%2FptFE%3D

    CAS  Google Scholar 

  9. S Law M Fok K Chu J Wong (1997) ArticleTitleThoracoscopic esophagectomy for esophageal cancer. Surgery 122 8–14 Occurrence Handle1:STN:280:ByiA28bkt1Q%3D Occurrence Handle9225908

    CAS  PubMed  Google Scholar 

  10. F Maeda (1997) ArticleTitlePulmonary function during exercise before and after radical esophagectomy for esophageal cancer. Jpn J Thorac Cardiovasc Surg 45 1–11 Occurrence Handle1:STN:280:ByiC2sbovVA%3D

    CAS  Google Scholar 

  11. N Matsumura H Nishijima S Kojima F Hashimoto M Minami H Yasuda (1983) ArticleTitleDetermination of anaerobic threshold for assessment of functional state in patients with chronic heart failure. Circulation 68 360–367 Occurrence Handle1:STN:280:BiyB3szhslI%3D Occurrence Handle6222847

    CAS  PubMed  Google Scholar 

  12. Z Mimica M Blocic A Bacic I Banoviv J Tociji V Radonic N Ilic A Petricevic (2000) ArticleTitleLaparoscopic and laparotomic cholecystectomy: A randomized trial comparing postoperative respiratory function. Respiration 67 153–158 Occurrence Handle10.1159/000029479 Occurrence Handle1:STN:280:DC%2BD3c3jsl2iug%3D%3D Occurrence Handle10773786

    Article  CAS  PubMed  Google Scholar 

  13. J Nakajima S Takamoto T Kohno T Ohtsuka (2000) ArticleTitleCosts of videothoracoscopic surgery versus open resection for patients with of lung carcinoma. Cancer 89 2497–2501 Occurrence Handle10.1002/1097-0142(20001201)89:11+<2497::AID-CNCR31>3.3.CO;2-X Occurrence Handle1:STN:280:DC%2BD3M%2FnvFeksw%3D%3D Occurrence Handle11147635

    Article  CAS  PubMed  Google Scholar 

  14. H Osugi M Takemura M Higashino N Takada S Lee (2002) ArticleTitleResults of video-assisted thoracoscopic oesophagectomy and radical lymph node dissection for squamous cell cancer of the oesophagus: comparison with open surgery in a single department. Br J Surg . .

    Google Scholar 

  15. H Osugi M Takemura M Higashino N Takada S Lee M Ueno Y Tanaka K Fukuhara Y Hashimoto Y Fujiwara H Kinoshita (2002) ArticleTitleVideo-assisted thoracoscopic eosophagectomy and radical lymph node dissection for eosophageal cancer. A series of 75 cases. Surg Endosc 16 1588 Occurrence Handle10.1007/s00464-002-9019-z Occurrence Handle1:STN:280:DC%2BD38notlGhtg%3D%3D Occurrence Handle12085146

    Article  CAS  PubMed  Google Scholar 

  16. H Osugi M Takemura N Takada K Hirohashi M Higashino (2002) ArticleTitlePrognostic factors after oesophagectomy and extended lymphadenectomy for squamous oesophageal cancer. Br J Surg 89 1–6 Occurrence Handle10.1046/j.1365-2168.2002.02109.x

    Article  Google Scholar 

  17. R Peters H Wellons T Htwe C Hill (1969) ArticleTitleTotal compliance and work of breathing after thoracotomy. J Thorac Cadiovasc Surg 57 348–355 Occurrence Handle1:STN:280:CCaC3s7gsF0%3D

    CAS  Google Scholar 

  18. S Takaishi K Isono Y Nishibayashi Y Tanaka T Morikawa A Masuda B Ahn Y Honda (1990) ArticleTitleEffect of unilateral pulmonary vagotomy on respiratory control in man. Respiration 57 293–298 Occurrence Handle1:STN:280:By6C3svltlU%3D Occurrence Handle2126637

    CAS  PubMed  Google Scholar 

  19. A Yim S Wan T Lee A Arifi (2000) ArticleTitleVATS lobectomy reduces cytokine responses compared with conventional surgery. Ann Thorac Surg 70 240–242 Occurrence Handle10.1016/S0003-4975(00)01258-3 Occurrence Handle10921715

    Article  PubMed  Google Scholar 

  20. C Zubrod M Schneiderman E Frei C Brindley G Gold B Shnider R Oviedo J Gorman R Jones U Jonsson J Colsky T Chalmers B Ferguson M Dederick J Holland O Selaway W Regelson L Lasagna A Owens (1960) ArticleTitleAppraisal of methods for the study of chemotherapy of cancer in man: comparative therapeutic trial of nitrogen mustard and triethylene thiophosphoramide. J Chron Dis 11 7–33

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterological Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan

    S. Taguchi, H. Osugi, M. Higashino, T. Tokuhara, N. Takada, M. Takemura, S. Lee & H. Kinoshita

Authors
  1. S. Taguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Osugi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Higashino
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Tokuhara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. N. Takada
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. Takemura
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. H. Kinoshita
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Taguchi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Taguchi, S., Osugi, H., Higashino, M. et al. Comparison of three-field esophagectomy for esophageal cancer incorporating open or thoracoscopic thoracotomy . Surg Endosc 17, 1445–1450 (2003). https://doi.org/10.1007/s00464-002-9232-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-002-9232-9

Keywords

Search

Navigation