TITLE

Minimally Invasive Esophagectomy (MIE): Techniques and Outcomes

AUTHOR(S)
Gopinath, Sajesh
PUB. DATE
January 2011
SOURCE
World Journal of Laparoscopic Surgery;Jan-Apr2011, Vol. 4 Issue 1, p53
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Esophageal cancer is one of the major public health problems worldwide. Different methods of minimally invasive esophagectomy (MIE) have been described, and they represent a safe alternative for the surgical management of esophageal cancer in selected centres with high volume and expertise in them. The procedural goal is to decrease the high overall morbidity of a traditional open esophageal resection. Aims: This article reviews the most recent and largest series evaluation of MIE techniques. Methods: A literature search performed using search engines Google, HighWire press, SpringerLink, and Yahoo. Selected papers are screened for other related reports. Results: Though MIE requires greater expertise and a long learning curve, once technique has been mastered it greatly reduces the postoperative morbidity and mortality to a significant extent. There was not much difference in average operating time compared to open surgery but bleeding was less in MIE. Mean hospital stay was similar to open surgery. There was no significant difference in number and location of lymph nodes harvested. Conclusion: The current review shows that MIE with its decreased blood loss, minimal cardiopulmonary complications and decreased morbidity and oncological adequacy, represents a safe and effective alternative for the treatment of esophageal carcinoma.
ACCESSION #
62090608

 

Related Articles

  • Robot-Assisted Thoracoscopic Esophagectomy with the Patient in the Prone Position. Dapri, Giovanni; Himpens, Jacques; Cadière, Guy-Bernard // Journal of Laparoendoscopic & Advanced Surgical Techniques;Jun2006, Vol. 16 Issue 3, p278 

    We describe a new technique of esophagectomy by robot-assisted thoracoscopy with the patient in the prone position, followed by laparoscopy and left cervicotomy with the patient in the supine position. We report two procedures performed November 2002 and September 2003. The technique should...

  • Laparoscopic intragastric surgery for gastric tube cancer following esophagectomy. Takiguchi, S.; Sekimoto, M.; Fujiwara, Y.; Yasuda, T.; Yano, M.; Monden, M. // Surgical Endoscopy;Aug2003, Vol. 17 Issue 8, p1323 

    As a result of the recent improvement of the prognosis of esophageal cancer, the reporting frequency of gastric tube cancer following esophageal cancer has increased. Gastric tube total resection following median sternotomy, a highly invasive surgical procedure, is applied to the cases of...

  • Initial Institutional Experience with Thoracoscopic Assisted Esophagectomy. LATA, ADRIAN L.; OAKS, TIMOTHY; LEVINE, EDWARD A. // American Surgeon;Jul2010, Vol. 76 Issue 7, p735 

    We report our initial experience with thoracoscopic assisted esophagectomy (TAE) in patients with esophageal carcinoma. Clinical outcome measures are reported for 14 consecutive patients who underwent thoracoscopically assisted esophagectomy at our institution between January 2007 and June 2009....

  • Significance of Thoracoscopy-Assisted Surgery with a Minithoracotomy and Hand-Assisted Laparoscopic Surgery for Esophageal Cancer: The Experience of a Single Surgeon. Kunisaki, Chikara; Kosaka, Takashi; Ono, Hidetaka; Oshima, Takashi; Fujii, Shoichi; Takagawa, Ryo; Kimura, Jun; Tokuhisa, Motohiko; Izumisawa, Yusuke; Makino, Hirochika; Akiyama, Hirotoshi; Endo, Itaru // Journal of Gastrointestinal Surgery;Nov2011, Vol. 15 Issue 11, p1939 

    Background: This retrospective study evaluated the surgical learning curve and outcomes of thoracolaparoscopic esophagectomy. Patients and Methods: The study group comprised a series of 92 patients with preoperatively diagnosed resectable thoracic esophageal cancer. Additionally, the surgical...

  • Minimally invasive esophagectomy. Liakakos, Theodore // Surgical Endoscopy;Mar2011, Vol. 25 Issue 3, p981 

    The article presents a case study of a 51-year-old man with distal esophagus adenocarcinoma with no evidence of having lymphatic metastasis. Three stages were included in the surgical procedure that took 337 minutes, wherein 157 minutes were consumed for thoracoscopy, and 180 minutes for the...

  • Minimally invasive esophagectomy. Leibman, S.; Smithers, B. M.; Gotley, D. C.; Martin, I.; Thomas, J. // Surgical Endoscopy;Mar2006, Vol. 20 Issue 3, p428 

    Background: We aimed to assess the outcomes including the effect on quality of life (QoL) of a group of patients having a minimally invasive esophagectomy (MIE). Methods: Patients with esophageal cancer were offered MIE over a 22-month period. Data on outcomes were collected prospectively,...

  • Immunological Changes After Minimally Invasive or Conventional Esophageal Resection for Cancer: A Randomized Trial. Maas, K.; Biere, S.; Hoogstraten, I.; Peet, D.; Cuesta, M. // World Journal of Surgery;Jan2014, Vol. 38 Issue 1, p131 

    Background: This study was performed as a substudy analysis of a randomized trial comparing conventional open esophagectomy [open surgical technique (OE)] by thoracotomy and laparotomy with minimally invasive esophagectomy [minimally invasive procedure (MIE)] by thoracoscopy and laparoscopy....

  • Thoracic epidural anesthesia does not improve the incidence of arrhythmias after transthoracic esophagectomy Ahn, Hyun Joo; Sim, Woo Seok; Shim, Young Mog; Kim, Jie Ae // European Journal of Cardio-Thoracic Surgery;Jul2005, Vol. 28 Issue 1, p19 

    Abstract: Objective: The incidence of arrhythmias related to an esophagectomy is high, and its clinical significance has been well accepted. Thoracic epidural anesthesia (TEA) can modulate the sympathetic tone and neuroendocrine responses associated with major operation. This study was aimed to...

  • Anastomotic leakage post-esophagogastrectomy for esophageal carcinoma: retrospective analysis of predictive factors, management and influence on longterm survival in a high volume centre Junemann-Ramirez, M.; Awan, M.Y.; Khan, Z.M.; Rahamim, J.S. // European Journal of Cardio-Thoracic Surgery;Jan2005, Vol. 27 Issue 1, p3 

    Abstract: Objective: Anastomotic leak post-gastro-esophagectomy for esophageal carcinoma remains an important issue in immediate as well as late morbidity and mortality. Several predictive factors such as patient and technical variables have been suggested with inconsistent findings. Our aim was...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics