Background: The objective of the study was to study
morbidity and
mortality patterns in
patients with
carcinoma oesophagus
who underwent minimally invasive
esophagectomy (MIE) in a tertiary centre for oncology in South
India .
Methods: This was a retrospective
observational study of 20
patients with
carcinoma esophagus who underwent minimally invasive
esophagectomy in center for oncology,
Government Royapettah
Hospital .
Medical records of all these
patients treated from September 2016 to August 2019 were collected from
medical records department and details regarding the type of lesion, site of the lesion, preoperative
chemoradiotherapy , type of
surgery performed and post-operative
complications were analyzed.
Results: Out of 20
patients who underwent minimally invasive
esophagectomy 13 were
female and 7 were
male . Among these 18 had
squamous cell carcinoma , 2 had
adenocarcinoma . Thirteen
patients had lesion in middle third oesophagus and 7
patients had lesion in lower third oesophagus. Nineteen
patients underwent
surgery after chemoradiation and one
patient underwent upfront
surgery . Twelve
patients underwent thoracolaparoscopic
esophagectomy and 8
patients underwent trans hiatal
esophagectomy . Perioperative
complications were seen in 8
patients of whom pulmonary
complications seen in 6 were most common.
Anastomotic leaks occurred in 4
patients of which 2
patients were reoperated. One
patient died within 30 days of
surgery .
Voice change and
ECG abnormalities occurred in 2
patients each.
Conclusions: Minimally invasive
esophagectomy is safe and associated with comparable
morbidity . Though the initial
learning curve is steep, it helps in faster recovery of the
patient . Also, the peri-operative outcome tends to improve with experience.