TITLE:
Totally Endoscopic (Thoracoscopic and Laparoscopic) Radical Esophagectomy with Gastric Tube Reconstruction through a Small Neck Incision: An Early Experience with Thirty Egyptian Patients
AUTHORS:
Adel Denewer, Adel Fathi, Ahmed Setit, Mohamed Hegazy, Ashraf Khater, Osama Hussein, Sameh Roshdy, Fayez Shahatto, Fathy Denewer
KEYWORDS:
Thoracoscopic, Laparoscopic, Radical Esophagectomy, Gastric Reconstruction, Esophagus Cancer
JOURNAL NAME:
Surgical Science,
Vol.5 No.5,
May
22,
2014
ABSTRACT:
Background: Minimally
invasive esophagectomy nowadays is replacing the classic open technique.
Additional studies are needed to confirm its safety and efficacy. Methods:
thirty patients with esophageal carcinoma were enrolled in this study. Patients
were evaluated preoperatively and they underwent thoracoscopic and laparoscopic
procedures for assessment of resectability. Resectablepatients underwent radical
esophagectomy with gastric tube reconstruction through a four-cm neck incision. Results: 17 patients were operable and
13 patients were inoperable. The mean operative time for the whole procedure
was 5.97 ± 1.66 hours. The mean blood loss was 250 ± 138.07
cc. The mean overall hospital stay was 17.47 ± 5.49 daysdays. Common
postoperative complications included pneumonia (13.3%) pleural effusion (6.7%),
cervical anastomotic leakage (10%), and wound infection (13.3%). One patient
died in the early postoperative period. Conclusions:
we conclude that totallyendoscopic (thoracoscopic and laparoscopic)
esophagectomy is feasible and relatively safe technique. Beside its efficacy as
an assessment tool, total esophagectomy and lymphadenectomy could be performed
in the same time.