Minimally invasive esophagectomy for esophageal cancer: the first experience from Pakistan.

IF 1.6 Q4 ONCOLOGY International Journal of Surgical Oncology Pub Date : 2014-01-01 Epub Date: 2014-07-20 DOI:10.1155/2014/864705
Farrukh Hassan Rizvi, Syed Shahrukh Hassan Rizvi, Aamir Ali Syed, Shahid Khattak, Ali Raza Khan
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引用次数: 4

Abstract

Background: Two common procedures for esophageal resection are Ivor Lewis esophagectomy and transhiatal esophagectomy. Both procedures have high morbidity rates of 20-46%. Minimally invasive esophagectomy has been introduced to decrease morbidity. We report initial experience of MIE to determine the morbidity and mortality associated with this procedure during learning phase.

Material and methods: Patients undergoing MIE at our institute from January 2011 to May 2013 were reviewed. Record was kept for any morbidity and mortality. Descriptive statistics were presented as frequencies and continuous variables were presented as median. Survival analysis was performed using Kaplan Meier curves.

Results: We performed 51 minimally invasive esophagectomies. Perioperative morbidity was in 16 (31.37%) patients. There were 3 (5.88%) anastomotic leaks. We encountered 1 respiratory complication. Reexploration was required in 3 (5.88%) patients. Median operative time was 375 minutes. Median hospital stay was 10 days. The most frequent long-term morbidity was anastomotic narrowing observed in 5 (9.88%) patients. There were no perioperative mortalities. Our mean overall survival was 37.66 months (95% confidence interval 33.75 to 41.56 months). Mean disease-free survival was 24.43 months (95% CI 21.26 to 27.60 months).

Conclusion: Minimally invasive esophagectomy, when performed in the learning phase, has acceptable morbidity and mortality.

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微创食管切除术治疗食管癌:巴基斯坦首例经验。
背景:两种常见的食管切除术是Ivor Lewis食管切除术和经食管切除术。这两种手术的发病率都高达20-46%。微创食管切除术已被引入以降低发病率。我们报告了MIE的初步经验,以确定在学习阶段与该手术相关的发病率和死亡率。材料与方法:回顾性分析2011年1月至2013年5月在我院接受MIE治疗的患者。记录所有的发病率和死亡率。描述性统计以频率表示,连续变量以中位数表示。采用Kaplan Meier曲线进行生存分析。结果:行51例微创食管切除术。围手术期发病率16例(31.37%)。吻合口瘘3例(5.88%)。我们遇到1例呼吸并发症。3例(5.88%)患者需要再次探查。中位手术时间为375分钟。平均住院时间为10天。长期发病率最高的是吻合口狭窄5例(9.88%)。无围手术期死亡。我们的平均总生存期为37.66个月(95%可信区间为33.75 ~ 41.56个月)。平均无病生存期为24.43个月(95% CI 21.26 ~ 27.60个月)。结论:在学习阶段进行微创食管切除术,其发病率和死亡率是可以接受的。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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