Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience
Surgery is pivotal in treating esophageal cancer; hybrid esophagectomy, which combines minimally invasive and open techniques, shows promising outcomes. This historical cohort study compared the surgical outcomes of standard open esophagectomy with hybrid esophagectomy. Overall, 58 patients who unde...
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Shiraz University of Medical Sciences
2024-10-01
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| Series: | Iranian Journal of Medical Sciences |
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| Online Access: | https://ijms.sums.ac.ir/article_50377_a04ed9fba3695139c003ea4d42923f1c.pdf |
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| author | Evgeny Toneev Oleg Aleksandrov Oleg Pikin Lyudmila Danilova Oleg Midlenko Vladimir Midlenko Andrey Chavga |
| author_facet | Evgeny Toneev Oleg Aleksandrov Oleg Pikin Lyudmila Danilova Oleg Midlenko Vladimir Midlenko Andrey Chavga |
| author_sort | Evgeny Toneev |
| collection | DOAJ |
| description | Surgery is pivotal in treating esophageal cancer; hybrid esophagectomy, which combines minimally invasive and open techniques, shows promising outcomes. This historical cohort study compared the surgical outcomes of standard open esophagectomy with hybrid esophagectomy. Overall, 58 patients who underwent either hybrid or open esophagectomy at the Ulyanovsk Regional Clinical Oncology Clinic, Russia, from January 2015 to December 2023 were included. Data on demographics, surgical details, and postoperative outcomes were analyzed. The primary measures were overall complications and anastomotic leakage rates. Statistical analysis was performed using Pearson’s Chi square test and t test via StatTech software (version 2.8.8). The number of removed lymph nodes was higher in the hybrid group (24±9) than in the open group (15±7) (P<0.001). In addition, the hybrid esophagectomy group showed significant reductions in operational time and blood loss (P<0.001 and P=0.014, respectively). The need for blood transfusion was higher in the open esophagectomy group (P=0.043). The postoperative length of stay in the hospital did not differ significantly between the two groups (open=20±8 days, hybrid=17±7 days, P=0.178). Cardiac complications were more frequent after an open esophagectomy (P=0.044). Hybrid esophagectomy reduced postoperative cardiac complications and other adverse events while maintaining satisfactory oncological outcomes. It had advantages over standard open esophagectomy in terms of lymphadenectomy, operative time, blood loss, and transfusion requirements, suggesting its efficacy for esophageal cancer patients. |
| format | Article |
| id | doaj-art-83bcd796d17847f3be5012d84450ce47 |
| institution | OA Journals |
| issn | 0253-0716 1735-3688 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Medical Sciences |
| spelling | doaj-art-83bcd796d17847f3be5012d84450ce472025-08-20T02:09:56ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882024-10-01491067167610.30476/ijms.2024.101493.341950377Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre ExperienceEvgeny Toneev0Oleg Aleksandrov1Oleg Pikin2Lyudmila Danilova3Oleg Midlenko4Vladimir Midlenko5Andrey Chavga6State Healthcare Institution Regional Clinical Oncology Center, Ulyanovsk State University, Ulyanovsk, RussiaNational Medical Research Center of Phthisiopulmonology, P.A. Hertzen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological Center, Ministry of Health of Russia, Moscow, RussiaP.A. Hertzen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological Center, Ministry of Health of Russia, Moscow, RussiaState Healthcare Institution, Regional Clinical Oncology Center, Ulyanovsk, Ulyanovsk, RussiaState Healthcare Institution, Regional Clinical Oncology Center, Ulyanovsk, Ulyanovsk, RussiaDepartment of Hospital Surgery, Ulyanovsk State University, Ulyanovsk, RussiaAnesthesiology, Resuscitation, Urology, Traumatology and Orthopedics, Ulyanovsk State University, Ulyanovsk, RussiaSurgery is pivotal in treating esophageal cancer; hybrid esophagectomy, which combines minimally invasive and open techniques, shows promising outcomes. This historical cohort study compared the surgical outcomes of standard open esophagectomy with hybrid esophagectomy. Overall, 58 patients who underwent either hybrid or open esophagectomy at the Ulyanovsk Regional Clinical Oncology Clinic, Russia, from January 2015 to December 2023 were included. Data on demographics, surgical details, and postoperative outcomes were analyzed. The primary measures were overall complications and anastomotic leakage rates. Statistical analysis was performed using Pearson’s Chi square test and t test via StatTech software (version 2.8.8). The number of removed lymph nodes was higher in the hybrid group (24±9) than in the open group (15±7) (P<0.001). In addition, the hybrid esophagectomy group showed significant reductions in operational time and blood loss (P<0.001 and P=0.014, respectively). The need for blood transfusion was higher in the open esophagectomy group (P=0.043). The postoperative length of stay in the hospital did not differ significantly between the two groups (open=20±8 days, hybrid=17±7 days, P=0.178). Cardiac complications were more frequent after an open esophagectomy (P=0.044). Hybrid esophagectomy reduced postoperative cardiac complications and other adverse events while maintaining satisfactory oncological outcomes. It had advantages over standard open esophagectomy in terms of lymphadenectomy, operative time, blood loss, and transfusion requirements, suggesting its efficacy for esophageal cancer patients.https://ijms.sums.ac.ir/article_50377_a04ed9fba3695139c003ea4d42923f1c.pdfesophageal neoplasmsesophagectomypostoperative complications |
| spellingShingle | Evgeny Toneev Oleg Aleksandrov Oleg Pikin Lyudmila Danilova Oleg Midlenko Vladimir Midlenko Andrey Chavga Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience Iranian Journal of Medical Sciences esophageal neoplasms esophagectomy postoperative complications |
| title | Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience |
| title_full | Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience |
| title_fullStr | Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience |
| title_full_unstemmed | Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience |
| title_short | Comparative Analysis of Surgical Outcomes in Hybrid and Open Esophagectomy for Esophageal Cancer: A Regional Russian Cancer Centre Experience |
| title_sort | comparative analysis of surgical outcomes in hybrid and open esophagectomy for esophageal cancer a regional russian cancer centre experience |
| topic | esophageal neoplasms esophagectomy postoperative complications |
| url | https://ijms.sums.ac.ir/article_50377_a04ed9fba3695139c003ea4d42923f1c.pdf |
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