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Blom RL, Klinkenbijl JH, Hollmann MW, et al. Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center. J Thorac Dis. 2012;4(5):467-73doi: 10.3978/j.issn.2072-1439.2012.09.05.
Blom, R. L., Klinkenbijl, J. H., Hollmann, M. W., Bergman, J. J., Cuesta, M. A., Bemelman, W. A., Busch, O. R., & van Berge Henegouwen, M. I. (2012). Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center. Journal of thoracic disease, 4(5), 467-73. https://doi.org/10.3978/j.issn.2072-1439.2012.09.05
Blom, Rachel L G M, et al. "Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center." Journal of thoracic disease vol. 4,5 (2012): 467-73. doi: https://doi.org/10.3978/j.issn.2072-1439.2012.09.05
Blom RL, Klinkenbijl JH, Hollmann MW, Bergman JJ, Cuesta MA, Bemelman WA, Busch OR, van Berge Henegouwen MI. Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center. J Thorac Dis. 2012 Oct;4(5):467-73. doi: 10.3978/j.issn.2072-1439.2012.09.05. PMID: 23050110; PMCID: PMC3461068.
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J Thorac Dis. 2012 Oct;4(5):467-73. doi: 10.3978/j.issn.2072-1439.2012.09.05.

Results of the introduction of a minimally invasive esophagectomy program in a tertiary referral center.

Journal of thoracic disease

Rachel L G M Blom, Jean H G Klinkenbijl, Markus W Hollmann, Jacques J G H M Bergman, Miguel A Cuesta, Willem A Bemelman, Olivier R C Busch, M I van Berge Henegouwen

Affiliations

  1. Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands;

PMID: 23050110 PMCID: PMC3461068 DOI: 10.3978/j.issn.2072-1439.2012.09.05

Abstract

BACKGROUND: Esophagectomy is accompanied by a high postoperative complication rate. Minimally invasive esophageal surgery appears to be a promising technique that might be associated with a lower pulmonary morbidity rate. The objective of this study was to describe the implementation of minimally invasive esophageal surgery in a tertiary referral center and to compare the results of our first series of minimally invasive esophagectomies (MIE) to conventional open esophagectomies.

METHODS: MIE was implemented after several procedures had been proctored by a surgeon with extensive experience with MIE. Preoperative characteristics and the postoperative course of patients who underwent a transthoracic esophagectomy were prospectively registered. Morbidity and overall hospital stay were compared between minimally invasive and open resections performed in the same period.

RESULTS: A total of 90 consecutive esophageal cancer patients underwent a transthoracic resection, 41 patients by means of a minimally invasive approach. Preoperative characteristics were comparable for both groups. The duration of surgery was longer in the MIE group (6.0 vs. 5.2 hours, P<0.001) and median blood loss was lower [100 vs. 500 mL (P<0.001)]. There was only a trend towards a shorter hospital stay in the MIE group (11 vs. 13 days, P=0.072), pulmonary complications occurred in 20% of patients in the MIE group vs. 31% in the open group (P=0.229). The overall complication rate was 51% in the MIE group vs. 63% in the open group, P=0.249.

CONCLUSIONS: Implementation of MIE in our center was successful and it appears to be a safe technique for patients with potentially curable esophageal carcinoma.

Keywords: Esophageal cancer; complications; surgical technical; thoracoscopy

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