Impact of minimally invasive surgery in the treatment of esophageal cancer

摘要: BACKGROUND: Surgical treatment of esophageal cancer is associated to a high morbidity and mortality rate. The open transthoracic or transhiatal esophagectomy are considerably invasive procedures have been rates complications operative mortality. In this way, minimally surgery has suggested as an alternative the classic because would produce improvement in clinical longterm postoperative outcomes. AIM: To assess survival, results due submitted techniques compare them published international literature. METHOD: An observational, prospective study. Between 2003 2012, 69 patients were cancer. It was recorded according Clavien-Dindo classification. survival rate analyzed with Kaplan-Meier method. number lymph nodes obtained during node dissection, index quality surgical technique, analysed. RESULTS: 63.7% had minor (type I-II Clavien Dindo), while nine (13%) required re-exploration. most common complication corresponded leak cervical anastomosis seen 44 (63.7%) but without repercusion, only two reoperation. 4.34%, reoperation necessary cases. average time 22.59±25.38 months, probability 3-year estimated at 30%. resected 17.17±9.62. CONCLUSION: Minimally lower rate, very satisfactory lymphnodes resection similar long term outcomes life compared observed after surgery.