Open versus minimally invasive esophagectomy: a single-center case controlled study

摘要: Recent advances in laparoscopic and thoracoscopic surgery have made it possible to perform esophagectomy using minimally invasive techniques. Although technically complex, recent case studies showed that approaches are feasible the potential improve mortality, hospital stay, functional outcome. We performed a controlled pair-matched study comparing 62 patients who had undergone either (MIE) or open (OE) between 2004 2007. Patients were matched by tumor stage localization, sex, age, preoperative ASA score. Pathologic stage, operative time, blood loss, transfusion requirements, length of postoperative morbidity, mortality recorded. Statistically significant differences seen overall number with surgical morbidity (MIE: 25% vs. OE: 74%, p = 0.014), rate 12.9% 41.9%, p = 0.001), respiratory complications 9.7% 38.7%, p = 0.008). There was no difference respect duration surgery. The resected lymph nodes pathologic complete resection comparable. ICU stay [MIE: 3 days (range = 0–15) 6 days (range = 1–40), p = 0.03] 12 days (range = 8–46) 24 days (range = 10–79), p = 0.001] significantly shorter MIE group. results this case-controlled provide further evidence for feasibility improvements esophagectomy. Our data comparable those from other centers lead us initiate first prospectively randomized total technique.