Hybrid minimal invasive esophagectomy for esophageal cancer: a single center experience with 14 cases

Year 2024, Volume: 57 Issue: 1, 16 - 19, 30.04.2024

Dursun Burak Özdemir , Serdar Şenol

https://doi.org/10.20492/aeahtd.1344190

Abstract

AIM: To perform a retrospective evaluation of morbidity, early postoperative mortality rates, and the safety of the procedure in patients who underwent hybrid minimally invasive esophagectomy in our clinic.
MATERIAL AND METHOD: The records of 14 patients with esophageal cancer operated using the minimally invasive esophagectomy technique in the general surgery clinic of the XXX Hospital between November 2015 and November 2022 were analyzed retrospectively.
RESULTS: The mean age of the 14 cases was 55 ± 11.96 years (32-71). Ten patients (71%) were men and four (29%) were women. The tumor was located in the lower esophagus in 12 cases, in the middle esophagus in one, and in the upper esophagus in one. Near total esophagectomy – cervical anastomosis was performed in 13 cases. Pharyngogastric anastomosis was performed after total esophagectomy, bilateral total thyroidectomy, and laryngectomy in one patient with upper esophageal tumor. The mean operative time was 319.64 ± 76.28 (188-452) min. Mean intraoperative bleeding was 109.64 ± 58.58 (40-220) ml, and the mean length of hospital stay was 13.71 ± 3.72 (7-21) days. No early postoperative mortality was observed in any case.
CONCLUSION: Our early postoperative results in cases in which we performed hybrid minimally invasive esophagectomy are consistent with the previous literature.

Keywords

Hybrid minimal invasive esophagectomy, Esophageal cancer, Thoracoscopy

Supporting Institution

None

Project Number

None

Thanks

None

Özofagus Kanserinde Hibrit Minimal İnvaziv Özofajektomi: 14 olgu, Tek Merkez Deneyimi

Abstract

GİRİŞ: Kliniğimizde hibrit minimal invaziv özofajektomi uygulanan hastalarda morbidite, erken postoperatif mortalite oranları ve işlemin güvenliğinin retrospektif olarak değerlendirilmesi.
GEREÇ VE YÖNTEM: Kasım 2015 ile Kasım 2022 tarihleri arasında XXX Hastanesi genel cerrahi kliniğinde minimal invaziv özofajektomi tekniği kullanılarak opere edilen özofagus kanserli 14 hastanın kayıtları retrospektif olarak incelendi.
BULGULAR: 14 olgunun ortalama yaşı 55 ± 11,96 yıl (32-71) idi. On hasta (%71) erkek ve dört hasta (%29) kadındı. Tümör 12 olguda alt özofagusta, bir olguda orta özofagusta ve bir olguda ise üst özofagusta yerleşmişti. Olguların 13'üne totale yakın özofajektomi - servikal anastomoz uygulandı. Üst özofagus tümörü olan bir hastada total özofajektomi, bilateral total tiroidektomi ve larenjektomi sonrası farengogastrik anastomoz yapıldı. Ortalama ameliyat süresi 319.64 ± 76.28 (188-452) dakikaydı. Ortalama intraoperatif kanama 109.64 ± 58.58 (40-220) ml ve ortalama hastanede kalış süresi 13.71 ± 3.72 (7-21) gündü. Hiçbir olguda erken postoperatif mortalite gözlenmedi.
SONUÇ: Hibrit minimal invaziv özofajektomi uyguladığımız olgularda erken postoperatif sonuçlarımız literatür verileri ile uyumludur.

Keywords

Hibrit minimal invaziv özofajektomi, Özofagus kanseri, Torakoskopi

Project Number

None

References

• 1. Pohl H, Sirovich B, Welch HG. Esophageal adenocarcinoma incidence: are we reaching the peak? Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology. 2010;19(6):1468-70. doi:10.1158/1055-9965.epi-10- 0012
• 2. Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet (London, England). 2012;379(9829):1887-92. doi:10.1016/s0140-6736(12)60516-9
• 3. Daiko H, Kato K. Updates in the 8th edition of the TNM staging system for esophagus and esophagogastric junction cancer. Japanese journal of clinical oncology. 2020;50(8):847-851. doi:10.1093/jjco/hyaa082
• 4. Napier KJ, Scheerer M, Misra S. Esophageal cancer: A Review of epidemiology, pathogenesis, staging workup and treatment modalities. World journal of gastrointestinal oncology. 2014;6(5):112- 20. doi:10.4251/wjgo.v6.i5.112
• 5. Morgan E, Soerjomataram I, Rumgay H, et al. The Global Landscape of Esophageal Squamous Cell Carcinoma and Esophageal Adenocarcinoma Incidence and Mortality in 2020 and Projections to 2040: New Estimates From GLOBOCAN 2020. Gastroenterology. 2022;163(3):649-658.e2. doi:10.1053/j.gastro.2022.05.054
• 6. Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach. Journal of the Royal College of Surgeons of Edinburgh. 1992;37(1):7-11.
• 7. Qureshi YA, Dawas KI, Mughal M, Mohammadi B. Mini19 mally invasive and robotic esophagectomy: Evolution and evidence. Journal of surgical oncology. 2016;114(6):731-735. doi:10.1002/ jso.24398
• 8. Wullstein C, Ro-Papanikolaou HY, Klingebiel C, Ersahin K, Carolus R. Minimally Invasive Techniques and Hybrid Operations for Esophageal Cancer. Viszeralmedizin.2015;31(5):331-6. doi:10.1159/000438661
• 9. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Annals of surgery. 2003;238(4):486-94;doi:10.1097/01. sla.0000089858.40725.68
• 10. Biere SS, Maas KW, Bonavina L, et al. Traditional invasive vs. minimally invasive esophagectomy: a multi-center, randomized trial (TIME-trial). BMC Surg. 2011;11:2. doi:10.1186/1471-2482-11-2
• 11. Biere SS, Cuesta MA, van der Peet DL. Minimally invasive versus open esophagectomy for cancer: a systematic review and meta-analysis. Minerva chirurgica. 2009;64(2):121-33.
• 12. Xiong WL, Li R, Lei HK, Jiang ZY. Comparison of outcomes between minimally invasive oesophagectomy and open oesophagectomy for oesophageal cancer. ANZ journal of surgery. 2017;87(3):165-170. doi:10.1111/ans.13334
• 13. Lv L, Hu W, Ren Y, Wei X. Minimally invasive esophagectomy versus open esophagectomy for esophageal cancer: a meta-analysis. OncoTargets and therapy. 2016;9:6751-6762. doi:10.2147/ott. s112105
• 14. Guo W, Ma X, Yang S, et al. Combined thoracoscopic-laparoscopic esophagectomy versus open esophagectomy: a meta- analysis of outcomes. Surgical endoscopy. 2016;30(9):3873-81. doi:10.1007/s00464-015-4692-x
• 15. Yibulayin W, Abulizi S, Lv H, Sun W. Minimally invasive oesophagectomy versus open esophagectomy for resectable esophageal cancer: a meta-analysis. World journal of surgical oncology. 2016;14(1):304. doi:10.1186/s12957-016-1062-7
• 16. Dantoc M, Cox MR, Eslick GD. Evidence to support the use of minimally invasive esophagectomy for esophageal cancer: a meta-analysis. Archives of surgery (Chicago, Ill : 1960). 2012;147(8):768-76. doi:10.1001/archsurg.2012.1326
• 17. Sgourakis G, Gockel I, Radtke A, et al. Minimally invasive versus open esophagectomy: meta-analysis of outcomes. Digestive diseases and sciences. 2010;55(11):3031-40. doi:10.1007/s10620- 010-1153-1
• 18. Nagpal K, Ahmed K, Vats A, et al. Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta- analysis. Surgical endoscopy. 2010;24(7):1621-9. doi:10.1007/ s00464-009-0822-7
• 19. Kunisaki C, Hatori S, Imada T, et al. Video-assisted thoracoscopic esophagectomy with a voice-controlled robot: the AESOP system. Surgical laparoscopy, endoscopy & percutaneous techniques. 2004;14(6):323-7. doi:10.1097/01.sle.0000148468.74546.9a
• 20. Giugliano DN, Berger AC, Rosato EL, Palazzo F. Total minimally invasive esophagectomy for esophageal cancer: approaches and outcomes. Langenbeck’s archives of surgery. 2016;401(6):747- 56. doi:10.1007/s00423-016-1469-1
• 21. Rodham P, Batty JA, McElnay PJ, Immanuel A. Does minimally invasive oesophagectomy provide a benefit in hospital length of stay when compared with open oesophagectomy? Interactive cardiovascular and thoracic surgery. 2016;22(3):360-7. doi:10.1093/ icvts/ivv339