Right Compared With Left Thoracic Approach Esophagectomy for Patients With Middle Esophageal Squamous Cell Carcinoma

Frontiers in Oncology
Yan ZhengWenqun Xing

Abstract

Background: In China, open surgical approaches for esophageal cancer (EC) can be divided into two techniques, the right- and left- transthoracic esophagectomy. Although there is an increasing number of instances that use the right side, the optimal surgical technique remains unclear. Based in a large cancer center with rich experience of both transthoracic side approaches, this study compared the long-term survival of patients treated by these two surgical techniques. Methods: The patients included in this study underwent a right transthoracic esophagectomy (Right, McKeown) or left transthoracic esophagectomy (Left, Sweet, or chest neck dual-incision) for esophageal squamous cell carcinoma (ESCC) between January 2015 and October 2018. The overall survival(OS) rate and perioperative data between the two groups were then retrospectively analyzed. Results: We included 437 patients who underwent Right (n = 202) and Left (n = 235) approaches for ESCC. There was a significantly longer median operative time (250 vs. 190 min, P < 0.001) and longer median postoperative hospital stay (17 vs. 14 days, P < 0.001) in the Right side group. The OS at 5-years was 49.9% in the Right group and 52.45% in the Left group; hazard ratio (HR) (95% CI)...Continue Reading

References

Nov 22, 2002·The New England Journal of Medicine·Jan B F HulscherJ Jan B van Lanschot
Jul 25, 2008·Annals of Surgery·Nasser K AltorkiMadhu Mazumdar
Dec 25, 2009·Annals of Surgery·Nabil P RizkEugene H Blackstone
Jul 3, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Joyce WongKenneth L Meredith
Mar 22, 2014·The Annals of Thoracic Surgery·Jun MaQun Wang
Sep 4, 2015·JAMA Surgery·Jesper LagergrenAndrew Davies
Feb 20, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hung-Che ChienChia-Chuan Liu
Oct 11, 2016·Gastrointestinal Tumors·Chung S YangShuiping Tu
Jun 3, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Wen-Qiang LvLong-Sheng Zhang

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