+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Significance of thoracoscopy-assisted surgery with a minithoracotomy and hand-assisted laparoscopic surgery for esophageal cancer: the experience of a single surgeon



Significance of thoracoscopy-assisted surgery with a minithoracotomy and hand-assisted laparoscopic surgery for esophageal cancer: the experience of a single surgeon



Journal of Gastrointestinal Surgery 15(11): 1939-1951



This retrospective study evaluated the surgical learning curve and outcomes of thoracolaparoscopic esophagectomy. The study group comprised a series of 92 patients with preoperatively diagnosed resectable thoracic esophageal cancer. Additionally, the surgical outcomes in 79 esophageal cancer patients receiving open esophagectomies were compared. All patients underwent thoracolaparoscopic esophagectomy in the lateral decubitus position. The short- and long-term outcomes were evaluated, and the surgical learning curve was assessed. The total operation time was 477.8 ± 102.2 min, the thoracoscopic time was 157.9 ± 61.3 min, the total blood loss was 554.4 ± 280.5 ml, and the number of retrieved lymph nodes was 34.3 ± 14.3. Postoperative morbidity was observed in 23 patients. After the surgeon's first 40 cases, the surgical technique and short-term outcomes were stable. The 5-year disease-specific survival was 66.6% and the 5-year overall survival was 64.6% in patients receiving R0 thoracolaparoscopic esophagectomy. Comparison of 5-year disease-specific survival rate according to tumor-node-metastasis stage between patients receiving R0 thoracolaparoscopic esophagectomy and conventional open esophagectomy showed that there were no significant differences in survival in any stage between the two groups. Loco-regional recurrence was observed in 6 patients, distant recurrence in seven, and combined recurrence in nine after R0 thoracolaparoscopic esophagectomy. There was no significant difference in the pattern of recurrence between the two groups. Thoracolaparoscopic esophagectomy for esophageal cancer was technically feasible and oncologically satisfactory, according to the surgical learning curve.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036201793

Download citation: RISBibTeXText

PMID: 21909843

DOI: 10.1007/s11605-011-1664-x


Related references

Hand-assisted laparoscopic colorectal surgery: initial experience of a single surgeon. Saudi Journal of Gastroenterology 17(1): 16-19, 2011

Combination of video-assisted thoracoscopic surgery and hand-assisted laparoscopic surgery for early cancer of the thoracic esophagus. International Surgery 89(3): 131-135, 2004

Robot-assisted laparoscopic pancreatic surgery: single-surgeon experience. Surgical Endoscopy 24(7): 1646-1657, 2010

Staged Laparoscopy-Assisted Surgery Including Hand-Assisted Laparoscopic Surgery for Rectal Cancer with Synchronous Liver Metastases-A Case Report. Gan to Kagaku Ryoho. Cancer & ChemoTherapy 45(13): 1851-1853, 2019

Hand-assisted laparoscopic surgery for left sided colorectal cancer: is quality of surgery related with experience?. European Surgery 47(5): 238-242, 2015

Comparison of Gas-less laparoscopy-assisted surgery, hand-assisted laparoscopic surgery and pure laparoscopic surgery for radical nephrectomy. International Journal of Urology 11(3): 142-147, 2004

Complications of hand-assisted laparoscopic renal surgery: single-center ten-year experience. Urology 77(6): 1353-1358, 2011

T1637 Single Incision Laparoscopic Surgery (Sils) Versus Hand Assisted Laparoscopic Surgery (Hals): A Case-Matched Series. Gastroenterology 138(5): S-884, 2010

Functional and clinical outcomes of hand-assisted laparoscopic colorectal surgery: a single-institution experience in 255 patients. European Surgery 47(2): 75-80, 2015

Experience of hand-assisted laparoscopic renal surgery Comparison with gas-less laparoscopic surgery. Journal of Urology 163(4 Suppl ): 324, 2000

Prophylactic surgery in familial adenomatous polyposis (FAP)--a single surgeon's short- and long-term experience with hand-assisted proctocolectomy and smaller J-pouches. International Journal of Colorectal Disease 30(8): 1109-1115, 2016

The learning curve for hand-assisted laparoscopic colectomy: a single surgeon's experience. Surgical Endoscopy 21(2): 234-237, 2006

Hand-assisted laparoscopic surgery for the abdominal phase in endoscopic esophagectomy for esophageal cancer: an alteration on the site of minilaparotomy. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 10(6): 396-400, 2001

Hand-Assisted Laparoscopic Surgery for the Abdominal Phase in Endoscopic Esophagectomy for Esophageal Cancer: An Alteration on the Site of Minilaparotomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques 10(6): 396-400, 2000

Hand-assisted laparoscopic and thoracoscopic surgery (HALTS) in radical esophagectomy with three-field lymphadenectomy for thoracic esophageal cancer. European Journal of Surgical Oncology 31(10): 1166-1174, 2005