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Comparisons between minimally invasive and open esophagectomy for esophageal cancer with cervical anastomosis: a retrospective study

التفاصيل البيبلوغرافية
العنوان: Comparisons between minimally invasive and open esophagectomy for esophageal cancer with cervical anastomosis: a retrospective study
المؤلفون: Zongjie Li, Canhui Liu, Yuanguo Liu, Sheng Yao, Biao Xu, Guohua Dong
المصدر: Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-7 (2020)
بيانات النشر: BMC, 2020.
سنة النشر: 2020
المجموعة: LCC:Surgery
LCC:Anesthesiology
مصطلحات موضوعية: Minimally invasive esophagectomy, Open esophagectomy, Esophageal carcinoma, Cervical anastomosis, Retrospective analysis, Surgery, RD1-811, Anesthesiology, RD78.3-87.3
الوصف: Abstract Background As an extensive surgery, minimally invasive esophagectomy (MIE) has advantages in reducing morbidity and improving quality of life for patients suffering from esophageal cancer. This study aims to investigate differences between MIE and open esophagectomy (OE) for considerations of the safety of procedures, rate of tumor resection, postoperative complications, and quality of life. This paper also tends to provide some references for MIE on esophageal cancer therapy. Methods A retrospective data analysis was undertaken on 140 patients who either underwent MIE or OE for esophageal cancer with cervical anastomosis from March 2013 to May 2014 by our surgical team. Preoperative characteristics were analyzed for both groups. Differences in perioperative and oncologic outcomes were compared in operation time, intraoperative blood loss, lymph nodes retrieved, and R0-resection rate. Accordingly, a comparative analysis was conducted on complications namely anastomotic leakage, pulmonary infection, in-hospital mortality, and short-term (3 months) postoperative EORTC C30 Global health as well. Results A total of 140 patients (87 with MIE and 53 with OE) were enrolled and the two groups were homogeneous in terms of patient- and tumor-related data. There was no difference on postoperative ICU stay (21.15 ± 1.54 h vs 21.75 ± 1.68 h, p = 0.07) and R0-resection rate (100% vs 100%, p = 1.00). The operation time for MIE was significantly shorter (146.08 ± 17.35 min vs 200.34 ± 14.51 min, p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1749-8090
Relation: http://link.springer.com/article/10.1186/s13019-020-01182-3; https://doaj.org/toc/1749-8090
DOI: 10.1186/s13019-020-01182-3
URL الوصول: https://doaj.org/article/465c6eb7c725444fb282cc6199630195
رقم الأكسشن: edsdoj.465c6eb7c725444fb282cc6199630195
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17498090
DOI:10.1186/s13019-020-01182-3