Clinical implementation of minimally invasive esophagectomy
Summary Background Minimally invasive surgery is becoming the method of choice for the resection of esophageal cancer worldwide. Methods: Retrospective analysis of prospectively collected clinical data in a tertiary care center with a detailed description of the course of the program. Results A tota...
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BMC
2024-10-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02641-7 |
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| author | Heinz Wykypiel Philipp Gehwolf Katrin Kienzl-Wagner Valeria Wagner Andreas Puecher Thomas Schmid Fergül Cakar-Beck Aline Schäfer |
| author_facet | Heinz Wykypiel Philipp Gehwolf Katrin Kienzl-Wagner Valeria Wagner Andreas Puecher Thomas Schmid Fergül Cakar-Beck Aline Schäfer |
| author_sort | Heinz Wykypiel |
| collection | DOAJ |
| description | Summary Background Minimally invasive surgery is becoming the method of choice for the resection of esophageal cancer worldwide. Methods: Retrospective analysis of prospectively collected clinical data in a tertiary care center with a detailed description of the course of the program. Results A total of 136 transthoracic esophageal resections were performed between 2010 and 2023. The study group included 116 operations, 69 of which were fully minimally invasive and 47 hybrid. 80.0% of the study group underwent surgery using a multimodality approach. The median operation time was 431 min (± 103). The R0 resection rate was 100%. Forty-two patients (36.2%) had no postoperative complications. The postoperative Clavien-Dindo > IIIb morbidity was 27%. The postoperative 90-d mortality rate was 1.7%. The average number of lymph nodes removed in the last quarter of cancer patients was 31. The anastomotic insufficiency rate for reoperation was 4% (Ivor-Lewis 4.2%, McKeown 5%). Conclusions With extensive expertise in high-end minimally invasive abdominal and thoracic surgery, implementation of a minimally invasive esophageal resection program with a clinical and oncologic outcome within generally accepted limits is feasible. |
| format | Article |
| id | doaj-art-24f4fec3b20544e286772ea1ec7efb1b |
| institution | OA Journals |
| issn | 1471-2482 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-24f4fec3b20544e286772ea1ec7efb1b2025-08-20T02:18:16ZengBMCBMC Surgery1471-24822024-10-0124111010.1186/s12893-024-02641-7Clinical implementation of minimally invasive esophagectomyHeinz Wykypiel0Philipp Gehwolf1Katrin Kienzl-Wagner2Valeria Wagner3Andreas Puecher4Thomas Schmid5Fergül Cakar-Beck6Aline Schäfer7Department of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckDepartment of Visceral, Transplant and Thoracic Surgery, Medical University of InnsbruckSummary Background Minimally invasive surgery is becoming the method of choice for the resection of esophageal cancer worldwide. Methods: Retrospective analysis of prospectively collected clinical data in a tertiary care center with a detailed description of the course of the program. Results A total of 136 transthoracic esophageal resections were performed between 2010 and 2023. The study group included 116 operations, 69 of which were fully minimally invasive and 47 hybrid. 80.0% of the study group underwent surgery using a multimodality approach. The median operation time was 431 min (± 103). The R0 resection rate was 100%. Forty-two patients (36.2%) had no postoperative complications. The postoperative Clavien-Dindo > IIIb morbidity was 27%. The postoperative 90-d mortality rate was 1.7%. The average number of lymph nodes removed in the last quarter of cancer patients was 31. The anastomotic insufficiency rate for reoperation was 4% (Ivor-Lewis 4.2%, McKeown 5%). Conclusions With extensive expertise in high-end minimally invasive abdominal and thoracic surgery, implementation of a minimally invasive esophageal resection program with a clinical and oncologic outcome within generally accepted limits is feasible.https://doi.org/10.1186/s12893-024-02641-7EsophagusEsophageal tumorEsophagectomySurgical oncologyPerioperative medicinePathology, surgical |
| spellingShingle | Heinz Wykypiel Philipp Gehwolf Katrin Kienzl-Wagner Valeria Wagner Andreas Puecher Thomas Schmid Fergül Cakar-Beck Aline Schäfer Clinical implementation of minimally invasive esophagectomy BMC Surgery Esophagus Esophageal tumor Esophagectomy Surgical oncology Perioperative medicine Pathology, surgical |
| title | Clinical implementation of minimally invasive esophagectomy |
| title_full | Clinical implementation of minimally invasive esophagectomy |
| title_fullStr | Clinical implementation of minimally invasive esophagectomy |
| title_full_unstemmed | Clinical implementation of minimally invasive esophagectomy |
| title_short | Clinical implementation of minimally invasive esophagectomy |
| title_sort | clinical implementation of minimally invasive esophagectomy |
| topic | Esophagus Esophageal tumor Esophagectomy Surgical oncology Perioperative medicine Pathology, surgical |
| url | https://doi.org/10.1186/s12893-024-02641-7 |
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