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Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy is a valuable approach for surgical treatment of esophageal cancer / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences) ; (12): 60-68, 2021.
Artigo em Inglês | WPRIM | ID: wpr-880623
ABSTRACT
OBJECTIVES@#To compare the short-, mid-, and long-term outcomes in patients with esophageal cancer between minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy (MIE-SM) and minimally invasive esophagectomy via McKeown approach (MIE-MC), and to evaluate the value of MIE-SM in the surgical treatment of esophageal cancer.@*METHODS@#A prospective, nonrandomized study was adopted. A total of 65 esophageal cancer patients after MIE-SM and MIE-MC from June 2014 to May 2016 were included. Among them, 33 patients underwent MIE-SM and 32 patients underwent MIE-MC. Short-term outcomes (including the duration of surgery, intraoperative blood loss volume, ICU stay time, postoperative complications, postoperative hospital stay, reoperation, open surgery, number of dissected lymph nodes, and 30-day mortality), mid-term outcomes, [including Quality of Life Core Questionnaire (QLQ-C30) and the esophageal site-specific module (QLQ-OES18)], long-term outcomes [including overall survival and disease-free survival] were compared between the 2 groups.@*RESULTS@#Radical resection (R0) were achieved in all patients. There were no significant differences in the duration of surgery, intraoperative blood loss volume, ICU stay time, postoperative complications, and postoperative hospital stay between the 2 groups (all @*CONCLUSIONS@#MIE-SM appears to be a safe surgical approach, which may get better quality of life, suffer less pain, and can achieve the same therapeutic effect as MIE-MC. Therefore, MIE-SM should be considered as a valuable approach for the treatment of middle and lower esophageal cancer.
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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Qualidade de Vida / Neoplasias Esofágicas / Estudos Prospectivos / Estudos Retrospectivos / Resultado do Tratamento / Esofagectomia / Laparoscopia / Procedimentos Cirúrgicos Minimamente Invasivos / Mediastinoscopia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Journal of Central South University(Medical Sciences) Ano de publicação: 2021 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Complicações Pós-Operatórias / Qualidade de Vida / Neoplasias Esofágicas / Estudos Prospectivos / Estudos Retrospectivos / Resultado do Tratamento / Esofagectomia / Laparoscopia / Procedimentos Cirúrgicos Minimamente Invasivos / Mediastinoscopia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Journal of Central South University(Medical Sciences) Ano de publicação: 2021 Tipo de documento: Artigo