Minimally Invasive Thoracoabdominal Esophagectomy Is Superior to Minimally Invasive Gastrectomy in Terms of Health-Related Quality of Life

Schmitz, Sophia; Alizai, Patrick H.; Eickhoff, Roman; Schooren, Lena; Kroh, Andreas; Roeth, Anjali A.; Neumann, Ulf; Klink, Christian D.

doi:10.1089/lap.2020.0509

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Other studies document higher quality of life parameters, after minimally invasive oesophagectomy than after minimally invasive gastrectomy. Moreover, after thoracoscopic oesophagectomy, it seems to be close to that of the general population[ 115 ]. In addition, a meta-analysis of nine studies showed that patients, who underwent minimally invasive transthoracic oesophagectomy, had superior parameters than patients who underwent open transthoracic oesophagectomy, regarding general condition, fatigue, pain, and quality of life[ 116 ].…”

Section: Quality Of Lifementioning

confidence: 99%

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Bîrlă,

Hoara,

Achim

et al. 2023

World J Gastrointest Oncol

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Minimally invasive surgery is increasingly indicated in the management of malignant disease. Although oesophagectomy is a difficult operation, with a long learning curve, there is actually a shift towards the laparoscopic/thoracoscopic/ robotic approach, due to the advantages of visualization, surgeon comfort (robotic surgery) and the possibility of the whole team to see the operation as well as and the operating surgeon. Although currently there are still many controversial topics, about the surgical treatment of patients with gastro-oesophageal junction (GOJ) adenocarcinoma, such as the type of open or minimally invasive surgical approach, the type of oesophago-gastric resection, the type of lymph node dissection and others, the minimally invasive approach has proven to be a way to reduce postoperative complications of resection, especially by decreasing pulmonary complications. The implementation of new technologies allowed the widening of the range of indications for this type of surgical approach. The short-term and long-term results, as well as the benefits for the patient - reduced surgical trauma, quick and easy recovery - offer this type of surgical treatment the premises for future development. This article reviews the updates and perspectives on the minimally invasive approach for GOJ adenocarcinoma.

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Section: Quality Of Lifementioning

confidence: 99%

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Bîrlă,

Hoara,

Achim

et al. 2023

World J Gastrointest Oncol

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Systematic review of quality of life after esophagectomy and total gastrectomy in patients with gastro-esophageal junction cancer

Walmsley

Berrisford

Humphreys

et al. 2023

Diseases of the Esophagus

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SUMMARY The optimal management of cancer of the gastro-esophageal junction (GEJ) is an area of contention. GEJ tumors are typically resected via total gastrectomy or esophagectomy. Despite many studies aiming to determine the superiority of either procedure based on surgical or oncological outcomes, the evidence is equivocal. Data focusing specifically on quality of life (QoL), however, is limited. This systematic review was performed to determine if there is any difference in patient’s QoL after total gastrectomy or esophagectomy. A systematic search of PubMed, Medline and Cochrane libraries was conducted for literature published between 1986 and 2023. Studies that used the internationally validated questionnaires EORTC QLQ-C30 and EORTC-QLQ-OG25, to compare QoL after esophagectomy to gastrectomy for the management of GEJ cancer were included. Five studies involving 575 patients undergoing either esophagectomy (n = 365) or total gastrectomy (n = 210) for GEJ tumors were included. QoL was predominantly assessed at 6, 12 and 24 months postoperatively. Although individual studies demonstrated significant differences in certain domains, these differences were not consistently demonstrated in more than one study. There is no evidence to suggest any significant differences in QoL after total gastrectomy compared to esophagectomy for management of gastro-esophageal junction cancer.

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Minimally Invasive Thoracoabdominal Esophagectomy Is Superior to Minimally Invasive Gastrectomy in Terms of Health-Related Quality of Life

Cited by 2 publications

References 23 publications

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Systematic review of quality of life after esophagectomy and total gastrectomy in patients with gastro-esophageal junction cancer

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