Systematic review of minimally invasive resection for gastro-oesophageal cancer

Gemmill, EH; McCulloch, Peter

doi:10.1002/bjs.6015

Cited by 121 publications

(92 citation statements)

References 51 publications

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“…Another large-volume multicenter study that compared outcomes following TTE and THE found the two to be equivalent, although higher-volume centers had lower morbidity and mortality rates (8). Nonetheless, open esophagectomy has the highest mortality and morbidity rate within the field of elective gastrointestinal surgery (9). Therefore, early reports of MIS for esophageal cancer have been received with interest (10).…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, early reports of MIS for esophageal cancer have been received with interest (10). Gemmill et al (9), who systematically reviewed 46 studies on minimally invasive resection for esophageal and gastric cancer, concluded that MIS is feasible, but randomized studies are needed before a definite conclusion can be drawn. There are also comparisons of the results in Western and Eastern countries, finding that the latter had better results.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Changing trends and experience with esophageal cancer surgery in a single university hospital: are the results similar or not?

Çelik¹,

Doğan²,

Arslan³

et al. 2017

Bagcilar Medical Bulletin

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Objective:The main treatment modality for esophageal cancer remains to be surgery. Over the last decades, surgical strategies have evolved remarkably. When neoadjuvant chemoradiotherapy became standard, discussions about the role, type, and timing of surgery began. In this study, we share results we obtained after operating our patients using various surgical techniques. Material and Methods: Reliable data from 51 esophageal cancer patients were evaluated retrospectively. Of the 51 cases, 31 were operable. These operable cases were further classified according to surgical method and neoadjuvant therapy status. Median survival time in months, complications, hospital mortality, length of hospital stay, and pathology results (total lymph nodes harvested and pathologic tumor node metastasis stage [p_TNM]) were documented for the different surgical approaches. Results: Open surgical methods were performed in 21 cases, while in 10 cases the Minimally Invasive Surgery (MIS) method was used. The MIS group received neoadjuvant therapy more frequently than the open surgical methods group (p=0.013). Although more complications were observed in the MIS group, the difference to the open esophagectomy methods group was not significant. Patients in the MIS group also had longer hospital stays, but again the difference was not significant. Although a pathologic complete response was seen in 8 of the 11 (72.7%) patients in our study who received chemoradiotherapy as neoadjuvant treatment, the surgical results of patients who received chemoradiotherapy were worse, although not to a statistically significant extent. Conclusion: Despite changing trends and treatment options in esophageal cancer surgery, we have yet to see the expected improved results. Keywords: esophagus cancer, minimally invasive surgery, neoadjuvant therapy ÖZETÖzofagus kanser cerrahisinde tek üniversite hastanesi deneyimleri ve değişen trendler; sonuçlar değişti mi?Amaç: Özofagus kanserinin temel tedavi yöntemi cerrahi olarak devam etmektedir. Son dekatlarda cerrahi yöntemlerde ciddi ilerlemeler olmuştur. Neoadjuvan kemoradioterapinin stantdart hale gelmesi ile beraber, cerrahinin tedavideki yeri, cerrahi yöntemin tipi ve zamanlaması tartışılmaya başlanmıştır. Bu çalış-mada, farklı cerrahi yöntemler ile tedavi edilen vakalarımızın sonuçları paylaşıldı. Yöntem: Özofagus kanserli 51 vakanın verileri retrospektif olarak değerlendirildi. Bu 51 vakanın 31 tanesi operable idi. Ameliyat edilen 31 vaka, ayrıca cerrahi yönteme ve neoadjuvant kemoradioterapiye göre alt gruplara ayrıldı. Ay olarak median sağ-kalım süreleri, komplikasyonlar, hastane mortaliteleri, yatış süreleri ve patoloji sonuçları (toplam çıkarılan lenf nodu sayısı, TNM sınıflaması) farklı cerrahi tekniklere göre yorumlandı. Bulgular: Açık cerrahi teknikler ile 21 vaka ameliyat edilirken, 10 vaka minimal invazif yöntemler (MİY) ile ameliyat edildi. Açık cerrahi yöntemlere göre MİY ile ameliyat olanlar daha sıklıkla neoadjuvant tedavi almış idi (p=0.013). MİY ile ameliyat olan grupta daha fazla ...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changing trends and experience with esophageal cancer surgery in a single university hospital: are the results similar or not?

Çelik¹,

Doğan²,

Arslan³

et al. 2017

Bagcilar Medical Bulletin

View full text Add to dashboard Cite

show abstract

“…Recent nonrandomized studies have shown a lower rate of major complications than that observed in open surgery; 17,18,21) however, a large systematic review concluded that the actual benefits remain obscure in terms of short-and long-term outcomes. 22) On the other hand, in 1994, Cuschieri 23) first reported the cases of six patients treated with thoracoscopic esophageal mobilization in the prone position (PP). Since the proposed technical and physiological advantages over LLDP are not fully understood, the technique has not become widely spread among esophageal surgeons.…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic Esophagectomy Using Prone Positioning

Noshirο

Miyake

2013

ATCS

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Thoracotomic esophagectomy followed by cervical and abdominal procedures has been conventionally performed as the best curable operative procedure for treating invasive thoracic esophageal carcinoma. Despite improvements in the survival rate, the procedure is associated with significant operative morbidity and mortality rates due to the extreme invasiveness of an extensive dissection of the lymph nodes. Minimally invasive esophagectomy (MIE) was developed to reduce surgical invasiveness. Recently, the use of thoracoscopic esophagectomy performed in the prone position has stimulated new interest in minimally invasive approaches. However, the advantages and disadvantages of this technique are not well known. In this review, the literature to date, including series and comparative studies of minimally invasive esophagectomy performed in the prone position, is summarized, and the various lessons learned and controversies surrounding this technique are addressed.

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“…The results point toward marked underdetection of psychiatric comorbidities among patients with complex FGIDs. Previously reported prevalence rates of psychiatric comorbidities were much lower in FGID patients, namely, 40 60%, whereas psychiatric comorbidities were observed in less than 20% of healthy controls 23 .…”

Section: Discussionmentioning

confidence: 75%

“…Additionally, unlike the situation in the US, the development of MPU related integrated care did not stop there. At the moment, 40 MPUs are operational in the Netherlands, starting with two MPUs in the late 1990s and still growing nationwide 23 . Moreover, 'MPU field standards' have been published and evaluated along with a 'general module for hospital psychiatry' 23 25 .…”

Section: Chaptermentioning

confidence: 99%

Hyperarousal in the hospital and what to do about it

Leue¹

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Systematic review of minimally invasive resection for gastro-oesophageal cancer

Abstract: Minimally invasive surgery is feasible but evidence of benefit is currently weak.

Cited by 121 publications

References 51 publications

Changing trends and experience with esophageal cancer surgery in a single university hospital: are the results similar or not?

Changing trends and experience with esophageal cancer surgery in a single university hospital: are the results similar or not?

Thoracoscopic Esophagectomy Using Prone Positioning

Hyperarousal in the hospital and what to do about it

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