title: Laparoscopic gastric tube formation with pyloromyotomy for reconstruction in patients with esophageal cancer.
abstract: OBJECTIVE
  To analyze the benefit and feasibility of this procedure compared with those of open method.
  
  
  METHODS
  Abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. The actual procedure performed during open surgery is the same as those of laparoscopic surgery except for the main incision. Minimally invasive esophagectomy (MIE) was performed on 54 patients with esophageal cancer. The short-term outcomes, including postoperative complications were analyzed and compared with 44 cases of open method.
  
  
  RESULTS
  Although the total operative time was not different between 2 groups (349.8 minutes vs. 374.8 minutes, P = 0.153), the operation time of abdominal procedure was shorter in laparoscopic group (90.6 minutes vs. 162.1 minutes, P < 0.001). Operation related complications and hospital stay were not significantly different between the 2 groups. The number of transfused patients was significantly smaller in laparoscopic group (11.1% vs. 27.9%, P = 0.030).
  
  
  CONCLUSIONS
  Laparoscopic gastric tubing with pyloromyotomy is a feasible and safe treatment option for patients with esophageal cancer.
authors.affiliation: Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Jin Won
authors.initials: JW
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Sook Whan
authors.initials: SW
authors.lastname: Sung
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Jae Kil
authors.initials: JK
authors.lastname: Park
authors.affiliation: Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Cho Hyun
authors.initials: CH
authors.lastname: Park
authors.affiliation: Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Kyo Young
authors.initials: KY
authors.lastname: Song
keywords: Esophageal cancer; Feasibility studies; Laparoscopy; Minimally invasive surgical procedures