Decreasing morbidity and mortality in 100 consecutive minimally invasive esophagectomies

摘要: Esophagectomy is a complex invasive procedure that requires exploration of multiple body cavities for removal and subsequent restoration gastrointestinal continuity. In many institutions, esophagectomy morbidity mortality rates remain high despite improvement intensive care treatment. We reviewed our minimally (MIE) experience consecutive series 100 patients to analyze trends in as we transitioned from open MIE. A total 105 who underwent operative August 2007 January 2011 were reviewed. The preoperative evaluation, technique, postoperative these cases evaluated analyzed have had MIE compared with 32 esophagectomies 2 years prior. During the time frame study, an attempted esophagectomy. Resection was completed done malignant disease 95 benign 5 patients. There one hospital mortality due pulmonary embolism. There no significant difference complications consisting transient left recurrent nerve injury (7 vs. 12.5%) or pneumonia (9 15.6%) those resection. However, wound infections significantly less (1 12.5%, respectively, p = 0.01). Anastomotic leak (4 p = 0.05) also lower Median length stay (LOS) (7.5 14 days, p < 0.05). Finally, there trend toward median LOS 30 during most recent period initial 17 10 days, Our results support continued safe use selected esophageal diseases, including malignancy. Morbidity, especially infection, anastomotic leak, decreasing incorporation techniques.