Minimal invasive approach of gastric and esophageal mobilization in total pharyngolaryngoesophagectomy

• Published in: Surgical endoscopy Vol. 17; no. 5; pp. 798 - 802
• Main Authors: Wong, S. K. H., To, E. W. H., Ng, E. K. W., Chung, S. C. S., Chan, A. C. W., Lee, D. W. H.
• Format: Journal Article
• Language: English
• Published: New York Springer Nature B.V 01.05.2003
• Subjects: Abdomen; Camcorders; Cancer; Dissection; Endoscopy; Esophagus; Laparoscopy; Laparotomy; Neck; Ostomy; Patients; Small intestine; Stomach; Surgeons; Surgery; Veins & arteries; United States > US
• ISSN: 0930-2794; 1432-2218
• DOI: 10.1007/s00464-002-9117-y

To evaluate early results in total pharyngolaryngoesophagectomy (PLE) by minimally invasive approaches for patients suffered from pharyngoesophageal tumor. Between April 1998 and September 2001, 12 consecutive patients underwent either total laparoscopic (n = 9) or hand-assisted laparoscopic (n = 3) gastric mobilization plus transhiatal esophageal resection in total PLE. The operative data and postoperative outcomes were evaluated. Total PLE by minimally invasive approach was successfully performed in 11 patients, and 1 patient required conversion due to uncontrolled bleeding. The median total operative time was 8.5 h (range, 5-11 h) and the abdominal laparoscopic stage usually took less than 4 h. The median time for extubation was 2 days (range, 1-4 days) and the median ICU stay was 2 days (range, 1-20 days). There was no 30-day mortality, and major complications occurred in 5 patients (42%). Minimally invasive PLE is a feasible and safe alternative to conventional open surgery for patients with pharyngoesophageal carcinoma.