A comparison of the surgical invasiveness and short-term outcomes between thoracoscopic and pneumatic mediastinoscopic esophagectomy for esophageal cancer

Sasaki, Ken; Tsuruda, Yusuke; Shimonosono, Masataka; Noda, Masahiro; Uchikado, Yasuto; Arigami, Takaaki; Matsushita, Daisuke; Kita, Yoshiaki; Mori, Shinichiro; Kurahara, Hiroshi; Nakajo, Akihiro; Ohtsuka, Takao

doi:10.1007/s00595-022-02509-4

Cited by 5 publications

(4 citation statements)

References 29 publications

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“…The results revealed a significantly higher likelihood of postoperative hoarseness in the VMTE group than that in the VATE group. Similar results were reported by Sasaki et al [32]. Because of the customary practice of making a left cervical incision, many patients experienced left RLN palsy.…”

Section: Rln Injurysupporting

confidence: 89%

“…Furthermore, this approach can be performed simultaneously by two separate medical teams, one for mediastinal surgery and the other for abdominal surgery, which significantly reduces operation time [31]. Sasaki et al [32] compared data from 38 and 34 patients who underwent thoracoscopic and mediastinoscopic esophageal cancer surgeries, respectively. The results indicated that the mediastinoscopic group had significantly shorter operation time, mechanical ventilation time, and ICU stay.…”

Section: Operation Timementioning

confidence: 99%

“…Sasaki et al [32] conducted a study that showed that the VMTE group had a significantly lower white blood cell count on POD5 compared to the VATE group (p = 0.0374). Additionally, the VMTE group had lower serum C-reactive protein (CRP) levels on POD3 than the VATE group (p = 0.0086).…”

Section: Inflammatory Responsesmentioning

confidence: 99%

“…In the study conducted by Sasaki et al [32], data from 72 patients who underwent minimally invasive esophagectomy were analyzed. Of these, 38 and 34 underwent thoracoscopy and mediastinoscopy, respectively.…”

Section: Long-term Outcomesmentioning

confidence: 99%

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Application of Inflatable Video-Assisted Mediastinoscopic Transhiatal Esophagectomy in Individualized Treatment of Esophageal Cancer

Song,

Shen,

et al. 2023

Biomedicines

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Surgery is a crucial treatment option for patients with resectable esophageal cancer. The emergence of minimally invasive esophageal techniques has led to the popularity of video-assisted thoracoscopic esophagectomy, which has proven to be more advantageous than traditional thoracotomy. However, some patients with esophageal cancer may not benefit from this procedure. Individualized treatment plans may be necessary for patients with varying conditions and tolerances to anesthesia, making conventional surgical methods unsuitable. Inflatable video-assisted mediastinoscopic transhiatal esophagectomy (IVMTE) has emerged as a promising treatment option for esophageal cancer because it does not require one-lung ventilation, reduces postoperative complications, and expands surgical indications. This technique also provides surgical opportunities for patients with impaired pulmonary function or thoracic lesions. It is crucial to have a comprehensive understanding of the advancements and limitations of IVMTE to tailor treatment plans and improve outcomes in patients with esophageal cancer. Understanding the advantages and limitations of this surgical method will help specific patients with esophageal cancer. We conducted a thorough review of the relevant literature to examine the importance of IVMTE for individualized treatment of this disease.

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Section: Rln Injurysupporting

confidence: 89%

Section: Operation Timementioning

confidence: 99%

Section: Inflammatory Responsesmentioning

confidence: 99%

Section: Long-term Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Application of Inflatable Video-Assisted Mediastinoscopic Transhiatal Esophagectomy in Individualized Treatment of Esophageal Cancer

Song,

Shen,

et al. 2023

Biomedicines

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Robot-assisted transcervical esophagectomy with a bilateral cervical approach for thoracic esophagectomy

Fujita,

Sato,

Fujiwara

et al. 2024

Surg Endosc

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Robot-assisted cervical esophagectomy with simultaneous transhiatal abdominal procedure for thoracic esophageal carcinoma

Fujita,

Sato,

Fujiwara

et al. 2024

Surg Endosc

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Background Minimally invasive robot-assisted cervical esophagectomy has been sporadically reported as a novel thoracic esophagectomy technique for patients with thoracic esophageal carcinoma. Most reports indicate that the abdominal component of robot-assisted cervical esophagectomy is performed sequentially after the cervical phase. However, if the cervical and abdominal phases are performed simultaneously using a nerve integrity monitoring system with no administration of muscle relaxants, there are two major advantages: a reduced risk of recurrent nerve palsy and a shorter operative time. We herein report our experience performing novel robot-assisted transcervical esophagectomy with a simultaneous transhiatal abdominal approach using a nerve integrity monitoring system. Methods Thirty cases of robot-assisted cervical esophagectomy performed from 2023 to April 2024 were reviewed. The operative and short-term surgical outcomes of this procedure were compared with those of robot-assisted cervical esophagectomy using a sequential abdominal approach, and the feasibility and efficacy of the simultaneous procedure were analyzed. Results All patients successfully underwent robot-assisted cervical esophagectomy with no intraoperative adverse events. There were no differences in the patients’ demographic or operative data between the two groups. There was no difference in the mean operation time for the cervical procedure ( p = 0.23). However, there was a significant difference in the total time for the whole procedure (sequential group: 453.8 ± 26.8 min, simultaneous group: 291.2 ± 36.1 min; p < 0.01). There were no differences in postoperative surgical complications between the groups. There was also no difference in the total number of surgically harvested mediastinal lymph nodes ( p = 0.33). Conclusions Robot-assisted transcervical esophagectomy, a new technique for thoracic esophageal cancer, was safe and feasible under intraoperative management using nerve integrity monitoring without muscle relaxants. This procedure facilitates intraoperative monitoring of recurrent laryngeal nerve activity, significantly shortening the total operative time.

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A comparison of the surgical invasiveness and short-term outcomes between thoracoscopic and pneumatic mediastinoscopic esophagectomy for esophageal cancer

Cited by 5 publications

References 29 publications

Application of Inflatable Video-Assisted Mediastinoscopic Transhiatal Esophagectomy in Individualized Treatment of Esophageal Cancer

Application of Inflatable Video-Assisted Mediastinoscopic Transhiatal Esophagectomy in Individualized Treatment of Esophageal Cancer

Robot-assisted transcervical esophagectomy with a bilateral cervical approach for thoracic esophagectomy

Robot-assisted cervical esophagectomy with simultaneous transhiatal abdominal procedure for thoracic esophageal carcinoma

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