Complications and survival after hybrid and fully minimally invasive oesophagectomy.

摘要: BACKGROUND Minimally invasive oesophagectomy (MIO) is reported to produce fewer respiratory complications than open oesophagectomy. This study assessed differences in postoperative between MIO and hybrid (HMIO) employing thoracoscopy laparotomy, along with the influence of co-morbidities on outcomes. METHODS Patients oesophageal cancer undergoing three-stage or HMIO 1999 2018 were identified from a prospectively developed database, which included patient demographics, co-morbidities, preoperative therapies, stage. The primary outcome was two groups. Secondary outcomes duration operation, blood transfusion requirement, hospital stay, overall survival. RESULTS There 828 patients, whom 722 had 106 MIO, without significant baseline differences. Median operation longer for (325 versus 289 min; P < 0.001), but less loss (median 250 300 ml; P < 0.001) shorter stay 12 13 days; P = 0.006). Respiratory not associated operative approach (31.1 35.2 per cent respectively; P = 0.426). Anastomotic leak rates (10.4 10.2 cent) 90-day mortality (1.0 1.7 did differ. Cardiac co-morbidity more medical surgical complications. Overall survival AJCC stage approach. CONCLUSION small benefit terms operating time. Oncological similar Postoperative pre-existing cardiorespiratory rather