Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis.

Surgical Endoscopy
Kamal NagpalThanos Athanasiou

Abstract

Open esophagectomy for cancer is a major oncological procedure, associated with significant morbidity and mortality. Recently, thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to utilize meta-analysis to compare outcomes of open esophagectomy with those of minimally invasive esophagectomy (MIE) and hybrid minimally invasive esophagectomy (HMIE). Literature search was performed using Medline, Embase, Cochrane Library, and Google Scholar databases for comparative studies assessing different techniques of esophagectomy. A random-effects model was used for meta-analysis, and heterogeneity was assessed. Primary outcomes of interest were 30-day mortality and anastomotic leak. Secondary outcomes included operative outcomes, other postoperative outcomes, and oncological outcomes in terms of lymph nodes retrieved. A total of 12 studies were included in the analysis. Studies included a total of 672 patients for MIE and HMIE, and 612 for open esophagectomy. There was no significant difference in 30-day mortality; however, MIE had lower blood loss, shorter hospital stay, and reduced total morbidity and respiratory complications...Continue Reading

References

Sep 1, 1986·Controlled Clinical Trials·R DerSimonian, N Laird
Sep 1, 1993·The Annals of Thoracic Surgery·D GossotM Celerier
Dec 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·T AkaishiA Wakabayashi
Jul 1, 1997·Surgery·S LawJ Wong
Jul 1, 1997·Seminars in Surgical Oncology·A PeracchiaB Chella
Dec 8, 1998·JAMA : the Journal of the American Medical Association·C B BeggM F Brennan
Mar 5, 1999·Surgical Endoscopy·K KawaharaT Shirakusa
Oct 4, 2000·The Annals of Thoracic Surgery·J D LuketichN T Nguyen
Aug 7, 2003·The Lancet Oncology·Peter C Wu, Mitchell C Posner
Oct 8, 2003·Annals of Surgery·James D LuketichHiran C Fernando
Nov 25, 2003·BMJ : British Medical Journal·Peter McCullochUNKNOWN British Oesophago-Gastric Cancer Group
Dec 4, 2003·Journal of the American College of Surgeons·Ninh T NguyenBruce M Wolfe
Mar 12, 2004·The Journal of Surgical Research·Luigi BonavinaAlberto Peracchia
Jun 26, 2004·Surgical Endoscopy·W T Van den BroekM A Cuesta
Dec 29, 2004·The Annals of Thoracic Surgery·Justin B DimickMark B Orringer
Jun 17, 2005·Surgical Endoscopy·K Q BernabeW S Richardson
Oct 20, 2005·Surgical Endoscopy·D J MartinD I Watson
Jan 5, 2006·Surgical Endoscopy·S LeibmanJ Thomas
Feb 21, 2006·The Annals of Thoracic Surgery·Takeshi ShiraishiTakafumi Maekawa
Jan 25, 2007·Annals of Surgery·Bernard M SmithersJanine M Thomas
Apr 24, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·T FabianJ A Federico

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Citations

Jun 30, 2011·Langenbeck's Archives of Surgery·Daniel PalmesUNKNOWN German Advanced Surgical Treatment Study Group
Mar 8, 2012·Surgical Endoscopy·Omar A JarralEmmanouil Zacharakis
May 4, 2012·Surgical Endoscopy·Amit Javed, Anil K Agarwal
Oct 12, 2012·Surgical Endoscopy·Lesley UttleyMyfanwy Lloyd-Jones
Apr 4, 2013·Surgical Endoscopy·Felix NickelBeat-Peter Müller-Stich
Aug 29, 2012·Surgery Today·Masayuki WatanabeHideo Baba
Sep 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Chikara KunisakiItaru Endo
Dec 21, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marc M DantocGuy D Eslick
Jan 20, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yaxing ShenQun Wang
Jul 11, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jie ZhangMatthew J Schuchert
May 22, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jonathan M HernandezKenneth Meredith
Jul 10, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marco E AllaixMarco G Patti
May 11, 2013·General Thoracic and Cardiovascular Surgery·Hiroya TakeuchiYuko Kitagawa
Apr 26, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philippe NafteuxToni Lerut
Apr 23, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Richard G Berrisford
Nov 10, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·William Richards
Jul 11, 2013·Annals of Surgical Oncology·Lawrence LeeLorenzo E Ferri
Dec 15, 2012·World Journal of Gastroenterology : WJG·Victoria M VillaflorMarco G Patti
Sep 5, 2013·The Korean Journal of Thoracic and Cardiovascular Surgery·Hirofumi KawakuboYuko Kitagawa
Feb 4, 2014·Best Practice & Research. Clinical Gastroenterology·Maarten C J AndereggMark I van Berge Henegouwen
Feb 4, 2014·Current Oncology Reports·Mohan K Mallipeddi, Mark W Onaitis
Jul 6, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Naoko ItoGo Wakabayashi
Oct 9, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jessica NgJoe Curry
Jan 19, 2015·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·David S Y Chan, Andrew L Baker
Nov 7, 2015·The Journal of Thoracic and Cardiovascular Surgery·Katie S Nason
Jan 7, 2016·Japanese Journal of Clinical Oncology·Kozo KataokaUNKNOWN Japan Esophageal Oncology Group/Japan Clinical Oncology Group
Mar 25, 2014·The Annals of Thoracic Surgery·Ming-ran XieMei-qing Xu
Nov 26, 2013·The Annals of Thoracic Surgery·Susanne WarnerDawn Jaroszewski
Sep 21, 2013·Cirugía española·Sorin Niky MocanuManel Trias Folch
Jan 1, 2012·Seminars in Thoracic and Cardiovascular Surgery·Nathan W BronsonJohn G Hunter
Dec 4, 2012·Seminars in Thoracic and Cardiovascular Surgery·George B HannaSheraz R Markar
Oct 3, 2012·The Surgical Clinics of North America·Ryan M LevyJames D Luketich

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