Minimally invasive esophagectomy for esophageal cancer: Comparative analysis of open and hand‐assisted laparoscopic abdominal lymphadenectomy with gastric conduit reconstruction

Abstract

The findings suggest that HALS is feasible and useful for patients with esophageal cancer.

Decreasing morbidity and mortality in 100 consecutive minimally invasive esophagectomies

“…Furthermore, we have found that MIE after neoadjuvant chemoradiotherapy did not significantly affect the operative time, blood loss, lymph node yield, and length of stay compared with MIE alone [18]. This was similarly reported in a recent retrospective review of 216 consecutive patients who underwent esophagectomy by Yamasaki et al [34]. Despite no statistical difference between physical and tumor status, patients who underwent a minimally invasive esophagectomy had a lower total blood loss, incidence of pulmonary complications, and most importantly, a similar disease-free survival rates at 2 years compared with open esophagectomies [34,35].…”

“…This was similarly reported in a recent retrospective review of 216 consecutive patients who underwent esophagectomy by Yamasaki et al [34]. Despite no statistical difference between physical and tumor status, patients who underwent a minimally invasive esophagectomy had a lower total blood loss, incidence of pulmonary complications, and most importantly, a similar disease-free survival rates at 2 years compared with open esophagectomies [34,35]. Additionally, MIE via a 3-hole approach has been shown to have adequate oncologic efficacy with an increased number of harvested lymph nodes, fewer serious complications, and a significant decrease in the length of postoperative hospital stay compared with open esophagectomy [36].…”

Esophagectomy Using a Thoracoscopic Approach With an Open Laparotomic or Hand-Assisted Laparoscopic Abdominal Stage for Esophageal Cancer

“…Similar to TAE studies, comparative studies between laparotomic and laparoscopic approaches have also shown better perioperative outcomes with the laparoscopic abdominal phase. [33][34][35] Thus, the combined use of thoracoscopy and laparoscopy in the THLE subgroup likely reduced the prognostic influence of perioperative factors. Although blood transfusion showed borderline significance in the univariate analysis (P = 0.053), it was not an independent prognostic factor in the multivariate analysis (P = 0.131), unlike in the whole cohort analysis.…”

Randomized Phase II Study of the Anti-inflammatory Effect of Ghrelin During the Postoperative Period of Esophagectomy

“…30 Subsequently, all patients included in the study were repositioned in the supine position, and abdominal lymphadenectomy and gastric tube reconstruction were performed using a hand-assisted laparoscopic surgical technique with a 7-cm upper abdominal midline incision (through which the surgeon's left hand was inserted) and three 5-to 12-mm-long incisions (through which the trocar tubes were inserted). 31 A gastric tube with cervical anastomosis was used to repair the defect. The posterior mediastinal route was used for the reconstruction.…”