World Journal of Laparoscopic Surgery

Register      Login

VOLUME 12 , ISSUE 2 ( May-August, 2019 ) > List of Articles

Original Article

Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients

Ali Jangjoo, Sadjad Noorshafiee, Ehsan Alaei, Yasaman Navari, Mahdi Jabbari Nooghabi

Keywords : Esophageal cancer, Esophagectomy, Laparoscopy, Transhiatal

Citation Information : Jangjoo A, Noorshafiee S, Alaei E, Navari Y, Nooghabi MJ. Totally Laparoscopic vs Open Transhiatal Esophagectomy: Our Experience in 93 Patients. World J Lap Surg 2019; 12 (2):56-58.

DOI: 10.5005/jp-journals-10033-1370

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: The incidence of esophageal cancer has been increasing in the last decade. Different types of treatments are available, including minimally invasive esophagectomy (MIE). The aim of this study was to compare the early outcomes of the open vs totally laparoscopic transhiatal esophagectomy. Materials and methods: This case–control study was conducted between May 2012 and January 2014. Patients with esophageal cancer who presented to Imam Reza Hospital, Mashhad, Iran, were assessed and their eligibility for the surgery type was investigated. Results: Ninety-three esophagectomies performed. The open group comprised 57 patients and the laparoscopic group consisted of 36 patients. Mortality occurred in three patients in the open group and seven patients in the laparoscopic group (p < 0.05). Chylothorax happened in four patients in the open group and only in one patient in the laparoscopic, which showed no significant difference. The mean operating time was 75 ± 16 minutes in the open group and 125 ± 25 minutes in the laparoscopic group (p < 0.05). Conclusion: Minimally invasive transhiatal esophagectomy is an available option for treatment of esophageal cancer, but our results should be interpreted with caution due to low sample size and our primary experience in patient selection.


PDF Share
  1. Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg 2012;256(1):95–103. DOI: 10.1097/SLA.0b013e3182590603.
  2. Meng F, Li Y, Ma H, et al. Comparison of outcomes of open and minimally invasive esophagectomy in 183 patients with cancer. J Thorac Dis 2014;6(9):1218–1224. DOI: 10.3978/j.issn.2072-1439.2014.07.20.
  3. Biere SS, Maas KW, Bonavina L, et al. Traditional invasive vs. minimally invasive esophagectomy: a multi-center, randomized trial (TIME-trial). BMC Surg 2011;11:2. DOI: 10.1186/1471-2482-11-2.
  4. Puntambekar S, Kenawadekar R, Pandit A, et al. Minimally invasive esophagectomy in the elderly. Indian J Surg Oncol 2013;4(4):326–331. DOI: 10.1007/s13193-013-0263-6.
  5. Santin BJ, Price P. Laparoscopic transhiatal esophagectomy at a low-volume center. JSLS 2011;15(1):41–46. DOI: 10.4293/108680811X13022985131138.
  6. Smithers BM, Gotley DC, Martin I, et al. Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 2007;245(2):232–240. DOI: 10.1097/01.sla.0000225093.58071.c6.
  7. Avery KN, Metcalfe C, Berrisford R, et al. The feasibility of a randomized controlled trial of esophagectomy for esophageal cancer—the ROMIO (Randomized Oesophagectomy: Minimally Invasive or Open) study: protocol for a randomized controlled trial. Trials 2014;15:200. DOI: 10.1186/1745-6215-15-200.
  8. Beigoli S, Sharifi Rad A, Askari A, et al. Isothermal titration calorimetry and stopped flow circular dichroism investigations of the interaction between lomefloxacin and human serum albumin in the presence of amino acids. J Biomol Struct Dyn 2019;37(9):2265–2282. DOI: 10.1080/07391102.2018.1491421.
  9. Briez N, Piessen G, Bonnetain F, et al. Open versus laparoscopically-assisted oesophagectomy for cancer: a multicentre randomised controlled phase III trial—the MIRO trial. BMC Cancer 2011;11:310. DOI: 10.1186/1471-2407-11-310.
  10. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg 2003;238(4):486–494; discussion 94–95. DOI: 10.1097/01.sla.0000089858.40725.68.
  11. Wallner G, Zgodzinski W, Masiak-Segit W, et al. Minimally invasive surgery for esophageal cancer—benefits and controversies. Kardiochir Torakochirurgia Pol 2014;11(2):151–155. DOI: 10.5114/kitp.2014.43842.
  12. Maas KW, Biere SS, Scheepers JJ, et al. Laparoscopic versus open transhiatal esophagectomy for distal and junction cancer. Rev Esp Enferm Dig 2012;104(4):197–202. DOI: 10.4321/S1130-01082012000400005.
  13. Rodham P, Batty JA, McElnay PJ, et al. Does minimally invasive oesophagectomy provide a benefit in hospital length of stay when compared with open oesophagectomy? Interact Cardiovasc Thorac Surg 2016;22(3):360–367. DOI: 10.1093/icvts/ivv339.
  14. Herbella FA, Patti MG. Minimally invasive esophagectomy. World J Gastroenterol 2010;16(30):3811–3815. DOI: 10.3748/wjg.v16.i30.3811.
  15. Khithani A, Jay J, Galanopoulos C, et al. Zero leaks with minimally invasive esophagectomy: a team-based approach. JSLS 2009;13(4):542–549. DOI: 10.4293/108680809X12589998404326.
  16. Lee JW, Sung SW, Park JK, et al. Laparoscopic gastric tube formation with pyloromyotomy for reconstruction in patients with esophageal cancer. Ann Surg Treat Res 2015;89(3):17–23. DOI: 10.4174/astr.2015.89.3.117.
  17. Gao Y, Wang Y, Chen L, et al. Comparison of open three-field and minimally-invasive esophagectomy for esophageal cancer. Interact Cardiovasc Thorac Surg 2011;12(3):366–369. DOI: 10.1510/icvts.2010.258632.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.