Abstract
BackgroundMinimally invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer.MethodsWe performed a retrospective review of 26 consecutive patients who underwent MIE for esophageal cancer in the Koo Foundation Sun Yat-Sen Cancer Center between September 2009 and August 2011. Perioperative data and postoperative complications were statistically analyzed.ResultsThe patient group consisted of 22 men and 4 women. MIE was performed successfully in all patients. The mean operative time was 430.4 ± 60.6 minutes, and the mean estimated operative blood loss was 135.0 ± 97.8 mL. There were no cases of conversion to open surgery during the procedure. The postoperative complication rate was 53.8%, and there was no surgical mortality.ConclusionsWe recommend this novel method of total laparoscopic staplized formation of gastric tube to facilitate gastric pull-up.
Highlights
Invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described
Esophagectomy for esophageal cancer has remained the primary treatment for patients with localized disease
Luketich and colleagues [3] described a detailed method of total minimally invasive esophagectomy (MIE) and concluded that it could be performed with low morbidity and mortality rates
Summary
Invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer. Numerous esophagectomy procedures have been described, but the surgery is technically complex and associated with high perioperative morbidity and mortality, even in highvolume hospitals [1,2]. Luketich and colleagues [3] described a detailed method of total minimally invasive esophagectomy (MIE) and concluded that it could be performed with low morbidity and mortality rates. They performed total laparoscopic gastric staplized tube construction without minilaparotomy. A superficial stitch may be placed on the anterior proximal gastric tube
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