Laparoscopic-Assisted Transhiatal Esophagogastrectomy Without Thoracic or Cervical Access: A Series of One Hundred Three Consecutive Cases

Abstract

LTEG is a safe, feasible, and oncologically effective procedure for AEG when performed by an experienced surgeon. Laparoscopic surgery is associated with a lower risk of pleural rupture, but pleural rupture in laparoscopic surgery may cause an adverse effect on the recovery of pulmonary function presumably due to tension pneumothorax.

Laparoscopic versus open gastrectomy for Siewert type II/III adenocarcinoma of the esophagogastric junction: a meta-analysis

“…After screening the title and abstract, 36 studies were assessed via full-text articles that we obtained. Finally, seven articles with a total of 1915 patients were included [13][14][15][16][17][18][19]. Approximately 1042 patients were in the LG group, while 873 patients were in the OG group.…”

“…All selected studies reported the duration of surgery [13][14][15][16][17][18][19]. Four studies [15,16,18,19] showed that operative time was significantly longer in the LG group than in the OG group.…”

“…All selected studies reported the duration of surgery [13][14][15][16][17][18][19]. Four studies [15,16,18,19] showed that operative time was significantly longer in the LG group than in the OG group. One study [14] showed the opposite outcome, and other two studies [13,17] showed no significant difference between the LG group and OG group.…”

“…Seven studies [13][14][15][16][17][18][19] for inclusion provided the estimated blood loss. Six studies [14][15][16][17][18][19] of them showed that the estimated blood loss was significantly less in the LG group than in the OG group, and only one study [13] showed no significant difference between the two groups.…”

“…Seven studies [13][14][15][16][17][18][19] for inclusion provided the estimated blood loss. Six studies [14][15][16][17][18][19] of them showed that the estimated blood loss was significantly less in the LG group than in the OG group, and only one study [13] showed no significant difference between the two groups. The meta-analysis revealed that the estimated blood loss was significantly less in the LG group than in OG group (WMD = − 77.49 ml, 95%CI − 111.84 to − 43.15; P < 0.00001).…”