[Thoracoscopically assisted en bloc esophagectomy]

Chirurg. 2009 Sep;80(9):848-53. doi: 10.1007/s00104-009-1673-4.
[Article in German]

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.

Publication types

  • English Abstract

MeSH terms

  • Adenocarcinoma / mortality
  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery*
  • Aged
  • Aged, 80 and over
  • Anastomosis, Surgical / methods
  • Barrett Esophagus / mortality
  • Barrett Esophagus / pathology
  • Barrett Esophagus / surgery*
  • Carcinoma, Squamous Cell / mortality
  • Carcinoma, Squamous Cell / pathology
  • Carcinoma, Squamous Cell / surgery*
  • Esophageal Neoplasms / mortality
  • Esophageal Neoplasms / pathology
  • Esophageal Neoplasms / surgery*
  • Esophagectomy / methods*
  • Female
  • Hospital Mortality
  • Humans
  • Lymph Node Excision / methods*
  • Lymphatic Metastasis / pathology
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods*
  • Neoplasm Staging
  • Precancerous Conditions / mortality
  • Precancerous Conditions / pathology
  • Precancerous Conditions / surgery*
  • Stomach / surgery
  • Surgery, Computer-Assisted
  • Surgical Staplers
  • Thoracoscopy / methods*
  • Time and Motion Studies