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Comparison of outcomes between minimally invasive oesophagectomy and open oesophagectomy for oesophageal cancer
Author(s) -
Xiong WenLing,
Li Rui,
Lei HaiKe,
Jiang ZhengYing
Publication year - 2017
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.13334
Subject(s) - medicine , esophageal cancer , perioperative , randomized controlled trial , meta analysis , esophagectomy , intensive care unit , surgery , cancer
Background A systematic review with meta‐analysis was performed to compare perioperative outcomes between minimally invasive oesophagectomy ( MIE ) and open oesophagectomy ( OE ). Methods PubMed and C ochrane databases were searched up to J anuary 2015 using keywords: esophageal cancer, MIE , OE , hybrid MIE . Randomized controlled trials or prospective studies comparing the efficacy of OE with MIE or hybrid MIE in oesophageal cancer patients were included. Sensitivity analysis and quality assessment were performed. Results MIE required longer operation time (pooled standardized difference in means = 0.565; 95% confidence interval ( CI ) = 0.272, 0.858; P < 0.001) than OE , but resulted in less blood loss, shorter hospital stays, lower incidence of pneumonia and vocal cord palsy ( P values ≤0.026). There was no difference between MIE and OE regarding lymph node yield (pooled standardized difference in means = 0.078; 95% CI = −0.111, 0.267; P = 0.419). Length of intensive care unit stay, in‐hospital mortality and 30‐day mortality were also similar ( P values ≥0.419) in both groups. Conclusions Regarding certain clinical outcomes, MIE may be more beneficial than OE .