Meta-analysis of health-related quality of life after minimally invasive <i>versus</i> open oesophagectomy for oesophageal cancer

Kauppila, Joonas H.; Xie, Shao-Hua; Johar, Asif; Markar, Sheraz R.; Lagergren, Pernilla

doi:10.1002/bjs.10577

Cited by 89 publications

(60 citation statements)

References 52 publications

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“…At three months, patients had better global QOL, physical function, less fatigue, and better pain control. However, no clinically significant difference noted after 6 months except for better physical function in patients who underwent minimally invasive surgery (42).…”

Section: Open Vs Minimally Invasive Esophagectomy (Mie)mentioning

confidence: 83%

Quality of life assessment in esophagectomy patients

et al. 2018

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Esophagectomy is the mainstay of curative therapy for esophageal cancer; however, it is associated with significant morbidity and mortality, with subsequent major impact on quality of life. This paper reviews the evaluation of health-related quality of life (HRQOL) in esophageal cancer patients undergoing curative intent therapy, the relationship between postoperative HRQOL and survival as well the potential utility of pre-treatment HRQOL as a prognostic tool. HRQOL assessment is valuable in helping clinicians understand the impact on patients of esophageal cancer and the various treatments thereof.HRQOL is also valuable as an end-point in studies of esophageal cancer and esophageal cancer treatment.Given the morbidity and mortality associated with the various treatments for esophageal cancer, it could be argued that HRQOL is as important an endpoint as survival, if not more so. Patient-reported pre-treatment HRQOL assessment appears to predict survival better than clinician-derived performance status assessment period. HRQOL assessment also appears to be responsive to surgical and non-surgical therapy and thus could potentially be used in trials and in practice to serve that function. Thus, HRQOL assessment could be a potentially important adjunct in shared decision-making and guiding treatment planning as well as monitoring the progress of treatment.

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Section: Open Vs Minimally Invasive Esophagectomy (Mie)mentioning

confidence: 83%

Quality of life assessment in esophagectomy patients

et al. 2018

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“…Regardless the development of MIE in esophageal cancer, patient with esophageal squamous carcinoma still forced to go through a series of dangerous perioperative treatment and terrible experience with less post-operative satisfaction (1,12). Since the fast-track surgery (FTS) was introduced to esophageal surgery by Cerfolio et al (13,14), few studies focused on the role in esophageal surgery practice.…”

Section: Discussionmentioning

confidence: 99%

“…Despite the incredible surgical progress recently, esophagectomy remains the most complex and high-risk operation procedure with high perioperative morbidity and mortality rates (1,2), even by the popular way of minimally invasive esophagectomy (MIE) approach (3,4). For now, almost all patients underwent thoracic operation had to leave a closed thoracic drainage tube (CTDT), a 11-mm diameter hard pipe, though intercostals space as the optimal treatment worldwide (5).…”

Section: Introductionmentioning

confidence: 99%

Is closed thoracic drainage tube necessary for minimally invasive thoracoscopic-esophagectomy?

Li¹,

Wang²,

Guo³

et al. 2018

J. Thorac. Dis.

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Background: Closed thoracic drainage tube (CTDT) is a conventional treatment after esophagectomy, even after minimally invasive esophagectomy. Here, we report a single-center, retrospective study to explore the safety and necessity of CTDT after thoracoscopic-esophagectomy. Conclusions: This study demonstrated that the treatment of no-CTDT after the minimally invasive thoracoscopic-esophagectomy is safe and feasible, might reduce the work intensity of medical stuff and lead to a better patients' experience.

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“…With the rapid growing experience it became clear that MIE indeed results in a significant decrease in postoperative complications in particular pulmonary complications (11,12) in its turn resulting in a significant decrease of ICU stay, decrease in length of hospital stay and a clear improvement in postoperative rehabilitation and related quality of life (13,14).…”

Section: Toni Lerutmentioning

confidence: 99%

Uniportal video-assisted thoracoscopic surgery in esophageal diseases: an introduction

Lerut

2017

J. Vis. Surg.

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The end of the 19th century was characterised by a true race to perform the first esophagectomy.Franz Torek (1) won the race by performing the first successful transthoracic (and transpleural) resection of the esophagus in 1913. The operation was a formidable undertaking. The patient, a woman, presented with a midthird squamous cell carcinoma. During surgery the tumor appeared to be attached to the left bronchus requiring a "longitudinal cut in the bronchus" followed by a repair if this incision with silk sutures. Reconstruction was not attempted and the patient was fed using a rubber tube connecting the proximal esophagostomy with a gastrostomy; she lived for 13 years.Further attempts made in the following years were mostly unsuccessful due to lack of technology to adequately ventilate the lungs. Only after the introduction of safe orotracheal intubation in the late twenties by Rowbotham (2) and Magill (3) surgeons could undertake more safely such complex operation as a transthoracic esophagectomy. Torek's operation was performed via left thoracoabdominal incision. In the subsequent years surgeons figured out that according to the location of the tumor different access routes could improve exposure and access to the tumor. Tumors of the lower half were preferentially approached from the left side (4,5) whereas supracarinal tumors were better approached from the right side (6,7). Review Article on Esophageal SurgeryUniportal video-assisted thoracoscopic surgery in esophageal diseases: an introduction Toni LerutDepartment of Thoracic Surgery, University Hospital Leuven, Leuven, BelgiumCorrespondence to: Toni Lerut. Emeritus Professor of Surgery; Emeritus Chairman Department of Thoracic Surgery, University Hospital Leuven, Belgium. Email: Toni.lerut@med.kuleuven.be.Abstract: Esophagectomy followed by reconstruction is one of the most complex interventions in surgery of the alimentary tract. Over several decennia dedicated surgeons have realized a constant decrease in 30-day mortality being now well below 5% in expert hands. However quality of life after such intervention is often jeopardized by the high incidence of complications in particular pulmonary infections. The introduction and presently widespread use of total minimally invasive esophagectomy (MIE) has re resulted in a substantial decrease of these pulmonary complications along with a decrease of the need for ICU admission and a decrease of length of hospital stay. But still a non-negligible share of patients may suffer from, sometimes severe, posthoracotomy pain. A problem that is thought to be the result of the manipulation of instruments at the port sites causing damage to the intercostal nerves. The growing popularity of uniportal video-assisted thoracoscopic surgery (VATS) in particular in lung surgery claims to diminish this problem. Currently there is little experience in the use of uniportal VATS for esophagectomy which seems to be in part related to its higher degree of technical complexity. As a result there are no published data on the results ...

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Meta-analysis of health-related quality of life after minimally invasive versus open oesophagectomy for oesophageal cancer

Cited by 89 publications

References 52 publications

Quality of life assessment in esophagectomy patients

Quality of life assessment in esophagectomy patients

Is closed thoracic drainage tube necessary for minimally invasive thoracoscopic-esophagectomy?

Uniportal video-assisted thoracoscopic surgery in esophageal diseases: an introduction

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