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Initial experience and result of thoracoscopic and laparoscopic esophagectomy.
Article in English | IMSEAR | ID: sea-43730
ABSTRACT

BACKGROUND:

Conventional esophagectomy requires either a laparotomy or a thoracotomy. Currently, the minimally invasive esophagectomy is an evolving alternative to the open technique.

OBJECTIVE:

Assess and evaluate the early outcomes of the authors' experiences with the minimally invasive esophagectomy for esophageal cancer. MATERIAL AND

METHOD:

Outcome data were collected prospectively from 28 consecutive patients, 22 men and six women with a mean age of 63 years and a range of 36-77 years.

RESULTS:

Thoracoscopic esophageal mobilizations were successful in 17 patients. Four patients were converted to open thoracotomy. Laparoscopic gastric mobilizations were successful in eight patients and only one patient was converted to laparotomy. Mortality was one (3.5%), and perioperative morbidity was nine (32%), including pneumonia, pleural effusion, wound infection, anastomosic leakage, and hoarseness.

CONCLUSION:

Minimally invasive esophagectomy is feasible and can be performed at the Prince of Songkla University Hospital. Optimal results require appropriate patient selection and surgeon experience.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Thailand / Thoracoscopy / Time Factors / Aged / Female / Humans / Male / Esophageal Neoplasms / Prospective Studies / Esophagectomy Type of study: Observational study Country/Region as subject: Asia Language: English Year: 2008 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Main subject: Thailand / Thoracoscopy / Time Factors / Aged / Female / Humans / Male / Esophageal Neoplasms / Prospective Studies / Esophagectomy Type of study: Observational study Country/Region as subject: Asia Language: English Year: 2008 Type: Article