Abstract

Objective To evaluate whether minimally invasive esophagectomy can reduce the incidence of postoperative complications compared with open thoracic surgery. Methods A total of 331 patients undergoing the McKeown esophagectomy were included in this study and divided into a thoracoscopic minimally invasive esophagectomy group (MIE group, n=153) and an open thoracic esophagectomy group (OE group, n=178). Postoperative complications were compared between the two groups. Results Compared with OE group, MIE group had a less amount bleeding [(123 ± 38)ml vs (346 ± 89)ml, P=0.000], more retrieved lymph nodes[(29.2 ± 6.3) vs (25.5 ± 5.8), P=0.032)], less total postoperative complications (55.6% vs 86.5%, P=0.000) and a lower incidence of pulmonary infection (8.4% vs 20.2%, P=0.003). Conclusions This observation study suggests that thoracoscopic minimally invasive esophagectomy can reduce the incidence of postoperative complications, especially better for the incidence of pulmonary infection. Key words: Thoracic surgery; Minimally invasive esophagectomy; Esophageal carcinoma; Complications

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