[Thoracoscopically assisted en bloc esophagectomy].
We report outcomes of en bloc esophageal resection with a thoracoscopically assisted laparotomy approach. The operation data were as follows: 41 thoracoscopically assisted procedures, 41 intrathoracic anastomoses, conversion rate 0, 100% R0 resection rate, 25 (15-52) lymph node retrievals, leak rate 2, and one mortality. From these results we conclude that minimally invasive esophagectomy with high intrathoracic anastomosis is a safe procedure. The R0 resection rate, lymph node retrieval, and operating time are comparable with those of the open abdominothoracic approach.
Adolf
J
J
Allgemein-, Visceral-, Thorax- und Gefässchirurgie, Klinikum Memmingen, Bismarckstrasse 23, 87700, Memmingen. chirurgie@klinikum-memmingen.de
Frehner
W
W
Sterk
P
P
Pfeiffer
A
A
D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D001471:Barrett Esophagus / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009367:Neoplasm Staging; D011230:Precancerous Conditions / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D025321:Surgery, Computer-Assisted; D013528:Surgical Staplers; D013906:Thoracoscopy / Q000379:methods*; D013996:Time and Motion Studies