Intraoperative conversion does not affect the oncological outcomes of minimally invasive esophagectomy for treatment of esophageal cancer

Surgical Endoscopy
Xue-Hai LiuWei Guo

Abstract

The aim of this study is to summarize the causes and implications of intraoperative conversion from minimally invasive esophagectomy (MIE) to open thoracotomy, and to evaluate the effect on long-term survival. There were 293 thoracoscopic esophagectomies for esophageal squamous cell carcinoma (ESCC) of the thoracic esophagus performed by the authors from September 2009 to August 2015. Totally, 257 patients were enrolled in this study. These patients were divided into two groups (those underwent complete MIE and those converted to open thoracotomy) and then compared. A standardized preoperative evaluation, as well as a postoperative method of following at a regular frequency were adopted for all of these patients. The clinicopathologic characteristics and the perioperative variables were retrospectively analyzed. Univariate and multivariate analyses were performed to identify prognostic factors. And the Kaplan-Meier method was used to compare survival differences. There were 231 patients (89.9%) underwent successful thoracoscopic esophagectomy (Group 1), and 26 cases (10.1%) required conversion to open procedure (Group 2). The majority of conversion (73.1%, 19/26) occurred in the initial 100 cases. No significant difference in b...Continue Reading

References

Apr 5, 2001·Surgical Endoscopy·B M SmithersL Doyle
Jan 27, 2009·Journal of Surgical Oncology·Frederick L Greene, Leslie H Sobin
Apr 7, 2010·Annals of Surgical Oncology·Thomas W RiceValerie W Rusch
Mar 11, 2011·Interactive Cardiovascular and Thoracic Surgery·Sayf GazalaEricl R Bédard
Jun 7, 2012·Annals of Surgery·James D LuketichKatie S Nason
Aug 16, 2014·Surgical Endoscopy·Oliver C BurdallDan Titcomb

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