Effects of hybrid minimally invasive oesophagectomy on major postoperative pulmonary complications8

Briez, Nicolas; Piessen, Guillaume; Torres, F.; Lebuffe, Gilles; Triboulet, Jean; Mariette, C.

doi:10.1002/bjs.8931

Cited by 137 publications

(102 citation statements)

References 27 publications

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“…Pulmonary complications in particular, but also the total number of complications, are reported to have been reduced through the use of hybrid resection compared with open oesophageal resection (35). In the present study of hybrid surgery, the proportion of minor complications (grades I-IIIa) was higher than in previous studies (14,33,34).…”

Section: Discussioncontrasting

confidence: 70%

Reseksjon for oesophaguscancer – komplikasjoner og overlevelse

Grøtting¹,

Løberg²,

Johannessen³

et al. 2016

Tidsskriftet

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MAIN POINTSOutcomes for hybrid oesophageal section were no post-operative mortality, a low proportion of serious complications and good five-year survival There is a growing tendency for minimally invasive procedures in the surgical treatment of oesophageal cancer BACKGROUND Surgery is regarded as necessary for achieving a cure with oesophageal cancer. Minimally invasive procedures are increasingly being employed in oesophageal resection, with the aim of achieving fewer complications than with open surgery. The purpose of this study was to investigate post-operative complications, mortality and long-term survival after hybrid oesophageal resection by means of laparoscopy and thoracotomy.

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Section: Discussioncontrasting

confidence: 70%

Reseksjon for oesophaguscancer – komplikasjoner og overlevelse

Grøtting¹,

Løberg²,

Johannessen³

et al. 2016

Tidsskriftet

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show abstract

“…Transhiatal and minimally invasive surgery seem to be associated with fewer pulmonary complications compared to thoraco-abdominal approaches. 83,84 There are no major differences in survival between any of the established approaches. 31,80,82,85,86 Standardisation of the surgical approach might be a more important prognostic factor than selecting one specific procedure over another.…”

Section: Surgical Approachmentioning

confidence: 99%

Oesophageal cancer

et al. 2017

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SummaryOesophageal cancer is a clinically challenging disease requiring a multidisciplinary approach.The extensive treatment may be associated with serious limitations in health-related quality of life and yet still a poor prognosis. Recent decades have witnessed a gradual improvement in prognosis in many countries. Endoscopic procedures have increasingly been used in the treatment of premalignant and early oesophageal tumours. Neoadjuvant therapy with chemotherapy or chemoradiotherapy has supplemented surgery as standard treatment of locally advanced oesophageal cancer. Surgery has become more standardised and centralised. There are several therapeutic alternatives for palliative treatment. This review aims to provide insights into the current clinical management, on-going controversies and future needs in oesophageal cancer.3

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“…Despite innovations in surgical techniques (open vs. laparo-thoracoscopic) and the addition of neo-adjuvant chemo-radiotherapy, major morbidity still can be up to 65% and 30-day mortality rate as high as 4% (1,2). Pulmonary infections and anastomotic dehiscence make up for the majority of reported complications.…”

Section: Introductionmentioning

confidence: 99%

“…To reduce complications minimally invasive techniques were introduced and some studies report a more favourable outcome (1). This especially translates into a reduction in pulmonary complications, which are reported to decrease by 60% (2). However, outcome seems especially related to patient and tumour characteristics, surgical experience and hospital volume (3,4).…”

Section: Introductionmentioning

confidence: 99%