Outcomes, quality of life, and survival after esophagectomy for squamous cell carcinoma: A propensity score-matched comparison of operative approaches

The Journal of Thoracic and Cardiovascular Surgery
Hao WangQun Wang

Abstract

Minimally invasive esophagectomy (MIE) theoretically offers advantages compared with open esophagectomy (OE). However, the long-term outcomes have not been well studied, especially for esophageal squamous cell carcinoma. We retrospectively compared postoperative outcomes, quality of life (QOL), and survival in a matched population of patients undergoing MIE, with a control (OE) group. From May 2004 to August 2013, MIE was performed for a group of 735 patients, which was compared with a group of 652 cases of OE. Eventually, 444 paired cases, matched using propensity-score matching, were selected for further statistical analysis. Compared with the OE group, the MIE group had shorter operation duration (191 ± 47 minutes vs 211 ± 44 minutes, P < .001); less blood loss (135 ± 74 ml vs 163 ± 84 ml, P < .001); similar lymph node harvest (24.1 ± 6.2 vs 24.3 ± 6.0, P = .607); shorter postoperative hospital stay (11 days [range: 7-90 days] vs 12 days [range: 8-112 days], P < .001); fewer major complications (30.4% vs 36.9%, P = .039); a lower readmission rate to the intensive-care unit (5.6% vs 9.7%, P = .023); and similar perioperative mortality (1.1% vs 2.0%, P = .281). At a median follow-up of 27 months, the 2-year overall survival ra...Continue Reading

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Citations

Nov 7, 2015·The Journal of Thoracic and Cardiovascular Surgery·Katie S Nason
Apr 6, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Daniela TreitlKfir Ben-David
Aug 8, 2015·Gastroenterology Research and Practice·K E O'SullivanJ P Hurley
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Jul 17, 2020·Annals of the New York Academy of Sciences·Zhen WangJie He
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Feb 2, 2021·The Annals of Thoracic Surgery·Nikhil PandaChristopher R Morse

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