Abstract
We report outcomes of en bloc esophageal resection with a thoracoscopically assisted laparotomy approach. The operation data were as follows: 41 thoracoscopically assisted procedures, 41 intrathoracic anastomoses, conversion rate 0, 100% R0 resection rate, 25 (15-52) lymph node retrievals, leak rate 2, and one mortality. From these results we conclude that minimally invasive esophagectomy with high intrathoracic anastomosis is a safe procedure. The R0 resection rate, lymph node retrieval, and operating time are comparable with those of the open abdominothoracic approach.
MeSH terms
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Adenocarcinoma / mortality
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Adenocarcinoma / pathology
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Adenocarcinoma / surgery*
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Aged
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Aged, 80 and over
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Anastomosis, Surgical / methods
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Barrett Esophagus / mortality
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Barrett Esophagus / pathology
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Barrett Esophagus / surgery*
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Carcinoma, Squamous Cell / mortality
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / surgery*
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Esophageal Neoplasms / mortality
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Esophageal Neoplasms / pathology
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Esophageal Neoplasms / surgery*
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Esophagectomy / methods*
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Female
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Hospital Mortality
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Humans
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Lymph Node Excision / methods*
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Lymphatic Metastasis / pathology
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Male
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Middle Aged
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Minimally Invasive Surgical Procedures / methods*
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Neoplasm Staging
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Precancerous Conditions / mortality
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Precancerous Conditions / pathology
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Precancerous Conditions / surgery*
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Stomach / surgery
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Surgery, Computer-Assisted
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Surgical Staplers
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Thoracoscopy / methods*
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Time and Motion Studies