COMPARISON THE OUTCOMES OF OPEN THORACOTOMY AND MINIMALLY INVASIVE THORACOSCOPIC ESOPHAGECTOMY IN ESOPHAGEAL CANCER

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BAGHERI REZA

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Journal Paper

Paper Information

Journal: JOURNAL OF CARDIO THORACIC MEDICINE Year:2017 | Volume:5 | Issue:2 Page(s): 569-574

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Title

COMPARISON THE OUTCOMES OF OPEN THORACOTOMY AND MINIMALLY INVASIVE THORACOSCOPIC ESOPHAGECTOMY IN ESOPHAGEAL CANCER

Author(s)

BAGHERI REZA | Issue Writer Certificate

Keywords

ESOPHAGEAL CANCER

MINIMALLY INVASIVE SURGERY

THORACOSCOPIC ESOPHAGECTOMY

Abstract

Introduction: Surgery is the first therapeutic option for esophagealcancer. There is controversy over the selection of the best surgicalapproach. Regarding this, the present study aimed to compare theminimally invasive and open esophagectomy in terms of their short-termoutcomes and preoperative complications.Materials & Methods: This randomized clinical trial was conducted on 61patients in Ghaem Hospital, Mashhad, Iran, within 2011-2013. Thepatients were assigned into two groups based on the type of therapeuticapproach they received. The minimally invasive esophagectomy (MIE) andopen esophagectomy (OE) groups consisted of 31 and 30 patients, respectively. For the purpose of the study, we collected such data as age, gender, site of lesion, bleeding, duration of surgery, rate of switch to openapproach, post-operative morbidity, duration of hospital stay, andmortality rate.Results: According to the results of the study, 60.7% of the participantswere male. The mean age of the patients was 62.39±11.91 years. Therewas no significant difference between the two groups regarding the site oflesion (P=0.014) and stage of tumor (P=0.108). No significant differencewas observed between the MIE and OE groups in terms of the bloodtransfusion (P=0.981). Considering the complications, there was one caseof fistula in the MIE group; furthermore, one and two cases of woundinfection and pleural effusions were observed in the OE group, respectively. There were no significant differences between the twogroups in terms of the post-operative complications, namely fistula, pleural effusions, and wound infection (P=0.492, P=0.238, and P=0.492, respectively). The MIE group had longer operation time (P≤0.001). Therewas one patient in the MIE group converted to open approach. Theduration of hospitalization was significantly longer in the OE group, andthere was no mortality.Conclusion: As the findings of the present study demonstrated, the MIEoutcomes were comparable with those of the OE with improved shortterm outcomes.

Cites

Short-Term Outcomes in Surgical Patients with Esophageal Cancer Admitted to the Intensive Care Unit

References

THE EFFECT OF NEOADJUVANT THERAPY ON EARLY COMPLICATIONS OF ESOPHAGEAL CANCER SURGERY

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APA: Copy

BAGHERI, REZA. (2017). COMPARISON THE OUTCOMES OF OPEN THORACOTOMY AND MINIMALLY INVASIVE THORACOSCOPIC ESOPHAGECTOMY IN ESOPHAGEAL CANCER. JOURNAL OF CARDIO THORACIC MEDICINE, 5(2), 569-574. SID. https://sid.ir/paper/349809/en

Vancouver: Copy

BAGHERI REZA. COMPARISON THE OUTCOMES OF OPEN THORACOTOMY AND MINIMALLY INVASIVE THORACOSCOPIC ESOPHAGECTOMY IN ESOPHAGEAL CANCER. JOURNAL OF CARDIO THORACIC MEDICINE[Internet]. 2017;5(2):569-574. Available from: https://sid.ir/paper/349809/en

IEEE: Copy

REZA BAGHERI, “COMPARISON THE OUTCOMES OF OPEN THORACOTOMY AND MINIMALLY INVASIVE THORACOSCOPIC ESOPHAGECTOMY IN ESOPHAGEAL CANCER,” JOURNAL OF CARDIO THORACIC MEDICINE, vol. 5, no. 2, pp. 569–574, 2017, [Online]. Available: https://sid.ir/paper/349809/en

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