Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures

Nguyen, Ninh T.; Roberts, Peter; Follette, David M.; Rivers, Ryan; Wolfe, Bruce M.

doi:10.1016/j.jamcollsurg.2003.07.005

Cited by 162 publications

(151 citation statements)

References 26 publications

Supporting

Mentioning

125

Contrasting

Unclassified

Order By: Relevance

“…It is difficult to make comparisons with other minimally invasive series as these have not reported disease-free survival. The low rate of local versus distant recurrence (three versus 11 patients) in the present study is in keeping with the findings of Nguyen and colleagues 26 , who reported that all 12 patients with recurrence in their series had distant rather than local metastatic disease. This is encouraging evidence that MIO can achieve good local control comparable that after open radical two-field lymphadenectomy 35,36 .…”

Section: Discussionsupporting

confidence: 93%

“…In that study there was a much higher proportion of early-stage disease (62·0 per cent) and a much lower proportion of patients undergoing neoadjuvant chemotherapy (35·1 per cent) than in the present series. Nguyen et al 26 reported an overall mortality rate of 4·3 per cent. In a series of 130 patients undergoing resection for mid-third squamous tumours, in whom the gastric tube was formed with an exteriorized stomach, Palanivelu et al 27 reported a perioperative mortality rate of 1·5 per cent.…”

Section: Discussionmentioning

confidence: 97%

“…There have been few published series of complete MIO (thoracoscopic plus laparoscopic phases) of more than 30 patients 12,13,26 . Other series of 'MIO' report hybrid procedures in which the gastric tube was formed after exteriorization through a minilaparotomy 27,28 .…”

Section: Discussionmentioning

confidence: 99%

“…The median overall lymph node harvest was 21 (range 7-48, interquartile range [17][18][19][20][21][22][23][24][25][26]. Lymph node count during the study is shown in Fig.…”

Section: Minimallymentioning

confidence: 99%

See 3 more Smart Citations

Short-term outcomes following total minimally invasive oesophagectomy

Berrisford

Wajed

Sanders

et al. 2008

British Journal of Surgery

View full text Add to dashboard Cite

Background: Minimally invasive oesophagectomy (MIO; thoracoscopy, laparoscopy, cervical anastomosis) is a complex procedure and few substantial series have been published. This study documented the morbidity, mortality and challenges of adopting MIO in a specialist unit in the UK. Conclusion: MIO can be performed with acceptable mortality and morbidity rates in an unselected series of patients. There was more morbidity related to gastric tube ischaemia than was expected.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

“…The median overall lymph node harvest was 21 (range 7-48, interquartile range [17][18][19][20][21][22][23][24][25][26]. Lymph node count during the study is shown in Fig.…”

Section: Minimallymentioning

confidence: 99%

See 2 more Smart Citations

Short-term outcomes following total minimally invasive oesophagectomy

Berrisford

Wajed

Sanders

et al. 2008

British Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Multiple studies have shown that minimally invasive esophagectomy is a safe approach for the treatment of esophageal cancer [1][2][3]. We describe the technique of a minimally invasive Ivor-Lewis esophagectomy in a 55-year-old patient with a gastric cardia tumor.…”

mentioning

confidence: 99%

Minimally invasive Ivor–Lewis esophagogastrectomy for gastric cardia cancer

et al. 2009

View full text Add to dashboard Cite

Introduction Gastric cardia cancer with involvement of the esophagus may require an esophagogastrectomy to obtain negative tumor margins. Multiple studies have shown that minimally invasive esophagectomy is a safe approach for the treatment of esophageal cancer [1][2][3]. We describe the technique of a minimally invasive Ivor-Lewis esophagectomy in a 55-year-old patient with a gastric cardia tumor. Methods In the laparoscopic phase, diagnostic laparoscopy was negative for metastasis. The stomach and distal esophagus were mobilized. The stomach was divided distal to the tumor and a thin gastric conduit was created. The specimen was removed through an extended abdominal port. In the thoracoscopic phase, the esophagus was mobilized. To ensure adequate proximal margins the esophageal stump was divided 1 cm below the azygous vein. A gastroesophageal anastomosis was created using a circular stapler. Results Total operative time was 210 min (laparoscopic time, 135 min; thoracoscopic time, 75 min). There were no intraoperative complications. Tumor margins were negative and there were 44 lymph nodes harvested. On postoperative day 2 the patient was transferred to the surgical floor and started on enteral feeds. On postoperative day 4 the esophagram was negative for leaks or obstruction. Patient was started on an oral diet and discharged on postoperative day 5. Final pathology revealed a T3N1M0 (stage III) gastric cardia tumor. The patient underwent adjuvant chemoradiation therapy and at 15 months postoperatively the patient was recurrence free. Conclusion We recently reported our experience with 104 minimally invasive esophagectomy procedures, of which seven patients had a diagnosis of gastric cardia cancer [4]. The mean number lymph nodes harvested was 23 ± 12. Minimally invasive Ivor-Lewis esophagogastrectomy for the treatment of gastric cardia cancer is technically feasible and safe for large gastric cardia tumors.

show abstract

Surgical Therapy of Barrett's Esophagus and Cancer

Lal¹,

Oelschlager²

2006

Barrett's Esophagus and Esophageal Adenocarcinoma

View full text Add to dashboard Cite

Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures

Cited by 162 publications

References 26 publications

Short-term outcomes following total minimally invasive oesophagectomy

Short-term outcomes following total minimally invasive oesophagectomy

Minimally invasive Ivor–Lewis esophagogastrectomy for gastric cardia cancer

Surgical Therapy of Barrett's Esophagus and Cancer

Contact Info

Product

Resources

About