Three-dimensional visualization system is one of the factors that improve short-term outcomes after minimally invasive esophagectomy.

Langenbeck's Archives of Surgery
Takuya KudoYoshihiro Kakeji

Abstract

Minimally invasive esophagectomy (MIE) has been increasingly used, but many reports have stated that recurrent laryngeal nerve (RLN) palsy after MIE is a major complication associated with postoperative pneumonia. Prevention of RLN palsy clearly has been a challenging task. The study aim was to determine if a three-dimensional (3-D) stereoscopic vision system can reduce the RLN palsy rate after MIE. This was a retrospective study of MIE (McKeown esophagectomy) using a 3-D or 2-D stereoscopic vision system to treat 358 patients in the prone position between April 2010 and March 2019. The patients who underwent 3-D MIE (3-D group) or 2-D MIE (2-D group) were matched by using propensity score matching. After matching, the perioperative outcomes were compared between the groups. After propensity score matching, 154 patients were analyzed (77 patients, 3-D group; 77 patients, 2-D group). There were no significant differences in the patients' baseline characteristics in the matched cohort. There were no significant differences in the rates of pneumonia (Clavien-Dindo (C-D) grade ≥ II, 3-D vs. 2-D, 11 (14%) vs. 12 (16%)), anastomotic leakage (C-D grade ≥ II, 10 (13%) vs. 18 (23%)) and mortality. The rates of left RLN palsy (C-D grade ...Continue Reading

References

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Jan 26, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Toshiyuki MoriMasaki Kitajima
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Jun 4, 2013·Annals of Surgery·Ksenija SlankamenacPierre-Alain Clavien
Oct 28, 2016·Surgical Endoscopy·Charlotte FergoJacob Rosenberg
Jul 31, 2016·Langenbeck's Archives of Surgery·Taro OshikiriYoshihiro Kakeji
Mar 3, 2017·Langenbeck's Archives of Surgery·Alexandros CharalabopoulosNaga Venkatesh Jayanthi
Mar 25, 2018·Langenbeck's Archives of Surgery·Taro OshikiriYoshihiro Kakeji
Dec 5, 2018·World Journal of Gastroenterology : WJG·Frans van WorkumCamiel Rosman

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