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Minimally invasive I vor– L ewis oesophagectomy is a feasible and safe approach for patients with oesophageal cancer
Author(s) -
Mei Xinyu,
Xu Meiqing,
Guo Mingfa,
Xie Mingran,
Liu Changqing,
Wang Zhou
Publication year - 2016
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/ans.13161
Subject(s) - medicine , thoracoscopy , pneumonia , surgery , incidence (geometry) , laparoscopy , esophageal cancer , esophagectomy , complication , cancer , gastroenterology , physics , optics
Background Minimally invasive approaches are increasingly being used in oesophagectomy. The aim of this study was to compare the short‐term clinical outcomes of the minimally invasive I vor– L ewis oesophagectomy ( MIILE ) technique with those of the open I vor– L ewis oesophagectomy ( OILE ) technique. Methods We identified 131 patients who underwent MIILE combined with thoracoscopy and laparoscopy. These patients were compared with 248 patients who underwent OILE between J anuary 2012 and D ecember 2013. Results MIILE and OILE produced similar post‐operative hospital mortality ( MIILE 2.3 versus OILE 2%; P = 1.000). The MIILE approach was associated with a significant decrease in the time until chest drain removal ( MIILE 9.07 ± 5.075 days versus OILE 11.26 ± 6.989 days; P = 0.002) and post‐operative length of stay ( MIILE 10.89 ± 4.976 days versus OILE 12.83 ± 6.921 days; P = 0.002). Pneumonia was the most common complication in both groups. MIILE patients exhibited a lower incidence of post‐operative pneumonia ( MIILE 17.6% versus OILE 28.2%; P = 0.024) compared with OILE . The survival rate did not significantly differ between the MIILE and OILE groups (1‐year survival rates: MIILE 86 versus OILE 88.2%; P = 0.537). Conclusions In this study, we demonstrate that MIILE is a feasible and safe approach for patients with middle or lower oesophageal cancer.