title: Video-assisted mediastinoscopic resection compared with video-assisted thoracoscopic surgery in patients with esophageal cancer.
abstract: OBJECTIVE
  The purpose of this study was to explore the indications of radical vedio-assisted mediastinoscopic resection for esophageal cancer.
  
  
  METHODS
  The data of 109 patients with T1 esophageal cancer who underwent video-assisted mediastinoscopic resection (VAMS group) in Third Affiliated Hospital of Soochow University Hospital from December 2005 to December 2011 were collected in the study for comparison with the 58 patients with T1 esophageal cancer who underwent video-assisted thoracoscopic surgery (VATS group) in Zhongshan Hospital, Fudan University. The perioperative safety and survival were compared between the two groups.
  
  
  RESULTS
  All operations were successful in both groups. One perioperative death was noted in the VATS group. The incidences of post-operative complications were not significantly different between these two groups, whereas the VAMS group was favorable in terms of operative time (P<0.001) and blood loss (P<0.001), and a significantly larger number of chest lymph nodes were dissected in the VATS group compared with the VAMS group (P<0.001). Long-term follow-up showed that the overall survival was not significantly different between these two groups (P=0.876).
  
  
  CONCLUSIONS
  T1N0M0 esophageal cancer can be as the indication of VAMS radical resection. VAMS radical resection can be considered as the preferred option for patients with poor pulmonary and cardiac function or a history of pleural disease.
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Qian-Yun
authors: QY
authors: Wang
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Li-Jie
authors: LJ
authors: Tan
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Ming-Xiang
authors: MX
authors: Feng
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Xiao-Ying
authors: XY
authors: Zhang
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Lei
authors: L
authors: Zhang
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Nan-Qing
authors: NQ
authors: Jiang
authors: 1 Department of Cardiothoracic Surgery, The Third Affiliated Hospital to Soochow University, Changzhou 213003, China ; 2 Department of Thoracic Surgery, Zhongshan Hospital, Affiliated to Fudan University, Shanghai 200032, China.
authors: Zhong-Lin
authors: ZL
authors: Wang
keywords: Esophageal cancer; mediastinoscopy; video-assisted thoracoscopic surgery (VATS)