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Laparoscopic transhiatal esophagectomy: outcomes

Laparoscopic transhiatal esophagectomy: outcomes BackgroundLaparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal diseases, is a complex operation, often associated with a high rate of morbidity and mortality. During the past decade this technique has became well accepted among specialized surgeons for the treatment of esophageal cancer, avoiding thoracotomy and reducing open access complications. The aim of the present study was to retrospectively analyze patients with esophageal cancer who underwent laparoscopic transhiatal esophagectomy.MethodsFrom November 1993 to August 2006, 78 patients underwent laparoscopic transhiatal esophagectomy. There were 68 cases of esophageal cancer (57 males and 21 females, age range = 28–73 years) with a predominant rate of squamous cell carcinoma (60.2%).ResultsThe conversion rate was 6.4%. The mean operative time was 153 min with a 12.8% rate of cervical leak and a postoperative (30-day) mortality rate of 5.1%. The four-year survival rate was 19% as determined within a subgroup of 21 patients whose followup during the period was possible.ConclusionsLaparoscopic transhiatal esophagectomy is a safe alternative for experienced professionals. This access can improve mortality, hospital stay, and other outcomes when compared with open methods. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Surgical Endoscopy Springer Journals

Laparoscopic transhiatal esophagectomy: outcomes

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References (37)

Publisher
Springer Journals
Copyright
Copyright © Springer Science+Business Media, LLC 2007
Subject
Medicine & Public Health; Abdominal Surgery ; Proctology ; Hepatology ; Gastroenterology ; Gynecology ; Surgery
ISSN
0930-2794
eISSN
1432-2218
DOI
10.1007/s00464-007-9267-z
pmid
17453288
Publisher site
See Article on Publisher Site

Abstract

BackgroundLaparoscopic transhiatal esophagectomy, indicated for benign and malignant esophageal diseases, is a complex operation, often associated with a high rate of morbidity and mortality. During the past decade this technique has became well accepted among specialized surgeons for the treatment of esophageal cancer, avoiding thoracotomy and reducing open access complications. The aim of the present study was to retrospectively analyze patients with esophageal cancer who underwent laparoscopic transhiatal esophagectomy.MethodsFrom November 1993 to August 2006, 78 patients underwent laparoscopic transhiatal esophagectomy. There were 68 cases of esophageal cancer (57 males and 21 females, age range = 28–73 years) with a predominant rate of squamous cell carcinoma (60.2%).ResultsThe conversion rate was 6.4%. The mean operative time was 153 min with a 12.8% rate of cervical leak and a postoperative (30-day) mortality rate of 5.1%. The four-year survival rate was 19% as determined within a subgroup of 21 patients whose followup during the period was possible.ConclusionsLaparoscopic transhiatal esophagectomy is a safe alternative for experienced professionals. This access can improve mortality, hospital stay, and other outcomes when compared with open methods.

Journal

Surgical Endoscopy – Springer Journals

Published: Aug 1, 2007

Keywords: Esophageal cancer; Esophagectomy; Laparoscopic esophagectomy

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