Laparoscopic gastric tube formation with pyloromyotomy for reconstruction in patients with esophageal cancer

Lee, Jinwon; Sung, Sook Whan; Park, Jae Kil; Park, Cho Hyun; Song, Kyo Young

doi:10.4174/astr.2015.89.3.117

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…al 16. demonstrated that the only difference between MIE and open surgery is the abdominal operative time (90 ± 27.6 minutes in the laparoscopic group vs 162 ± 97.3 minutes in the open group; p < 0.001), which is consistent with our finding (76 ± 15 minutes vs 125 ± 25 minutes, respectively, in laparoscopic and open group; p < 0.05).…”

supporting

confidence: 92%

Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients

Jangjoo¹,

Noorshafiee²,

Alaei³

et al. 2019

World Journal of Laparoscopic Surgery With DVD

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Introduction:The incidence of esophageal cancer has been increasing in the last decade. Different types of treatments are available, including minimally invasive esophagectomy (MIE). The aim of this study was to compare the early outcomes of the open vs totally laparoscopic transhiatal esophagectomy. Materials and methods: This case-control study was conducted between May 2012 and January 2014. Patients with esophageal cancer who presented to Imam Reza Hospital, Mashhad, Iran, were assessed and their eligibility for the surgery type was investigated. Results: Ninety-three esophagectomies performed. The open group comprised 57 patients and the laparoscopic group consisted of 36 patients. Mortality occurred in three patients in the open group and seven patients in the laparoscopic group (p < 0.05). Chylothorax happened in four patients in the open group and only in one patient in the laparoscopic, which showed no significant difference. The mean operating time was 75 ± 16 minutes in the open group and 125 ± 25 minutes in the laparoscopic group (p < 0.05). Conclusion:Minimally invasive transhiatal esophagectomy is an available option for treatment of esophageal cancer, but our results should be interpreted with caution due to low sample size and our primary experience in patient selection.

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supporting

confidence: 92%

Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients

Jangjoo¹,

Noorshafiee²,

Alaei³

et al. 2019

World Journal of Laparoscopic Surgery With DVD

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“…The review identified 98 studies 6,7,34–129 comparing surgical approaches for oesophagectomy, involving 32 315 patients ( Fig . 1 ).…”

Section: Resultsmentioning

confidence: 99%

Minimally invasive techniques for transthoracic oesophagectomy for oesophageal cancer: systematic review and network meta-analysis

et al. 2020

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Background: Oesophagectomy is a demanding operation that can be performed by different approaches including open surgery or a combination of minimal access techniques. This systematic review and network meta-analysis aimed to evaluate the clinical outcomes of open, minimally invasive and robotic oesophagectomy techniques for oesophageal cancer. Methods: A systematic literature search was conducted for studies reporting open oesophagectomy, laparoscopically assisted oesophagectomy (LAO), thoracoscopically assisted oesophagectomy (TAO), totally minimally invasive oesophagectomy (MIO) or robotic MIO (RAMIO) for oesophagectomy. A network meta-analysis of intraoperative (operating time, blood loss), postoperative (overall complications, anastomotic leaks, chyle leak, duration of hospital stay) and oncological (R0 resection, lymphadenectomy) outcomes, and survival was performed. Results: Ninety-eight studies involving 32 315 patients were included in the network meta-analysis (open 17 824, 55⋅2 per cent; LAO 1576, 4⋅9 per cent; TAO 2421 7⋅5 per cent; MIO 9558, 29⋅6 per cent; RAMIO 917, 2⋅8 per cent). Compared with open oesophagectomy, both MIO and RAMIO were associated with less blood loss, significantly lower rates of pulmonary complications, shorter duration of stay and higher lymph node yield. There were no significant differences between surgical techniques in surgical-site infections, chyle leak, and 30-and 90-day mortality. MIO and RAMIO had better 1-and 5-year survival rates respectively compared with open surgery. Conclusion: Minimally invasive and robotic techniques for oesophagectomy are associated with reduced perioperative morbidity and duration of hospital stay, with no compromise of oncological outcomes but no improvement in perioperative mortality.

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“…Partial gastric tubing procedure were performed using linear stapler at distal two third of stomach alongside lesser curvature with creation of 5 to 6 cm width of the stomach. Regional lymph nodes were dissected during the procedure without jejunostomy [ 4 , 5 ].…”

Section: Methodsmentioning

confidence: 99%

High Intrathoracic Anastomosis with Thoracoscopy Is Safe and Feasible for Treatment of Esophageal Squamous Cell Carcinoma

et al. 2016

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BackgroundMinimally invasive esophagectomy (MIE) has the potential to reduce the morbidity and mortality of esophageal cancer surgery. Esophageal squamous cell carcinoma (ESCC) has a high incidence of earlier lymphatic spread and is usually located more proximal to the incisor than esophageal adenocarcinoma; consequently, the anastomosis should be made more proximal in the thorax or in the neck. We adopted the proximal intrathoracic anastomotic technique using thoracoscopy for mid-to-lower ESCC.MethodsFrom October 2010 to August 2014, fifty-eight consecutive patients underwent MIE for ESCC. After laparoscopic gastric tubing, thoracoscopic esophageal resection and reconstruction were performed using a 28-mm circular stapler following radical mediastinal lymph node dissection. We tried to make an anastomosis at the apex of the chest. Postoperative outcomes, including overall survival and recurrence, were assessed.ResultsThe mean patient age was 64.3±9 years. The mean operative time was 371.8±51.6 minutes, and the duration of the thorax procedure was 254.8±38.3 minutes. The mean number of lymph nodes dissected was 31±11.7. The mean intensive care unit (ICU) stay and hospital stay were 3.5±8.2 hours and 13.6±7.4 days, respectively. The level of anastomosis was 22.3±1.8cm from the incisor. One patient died of uncontrolled sepsis due to necrosis of the gastric graft. Two patients developed small contained leakage. Nine patients exhibited distant metastasis during the follow-up period.ConclusionThoracoscopic intrathoracic anastomosis at the proximal esophagus is feasible and safe.

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Laparoscopic gastric tube formation with pyloromyotomy for reconstruction in patients with esophageal cancer

Cited by 8 publications

References 27 publications

Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients

Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients

Minimally invasive techniques for transthoracic oesophagectomy for oesophageal cancer: systematic review and network meta-analysis

High Intrathoracic Anastomosis with Thoracoscopy Is Safe and Feasible for Treatment of Esophageal Squamous Cell Carcinoma

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