Laparoscopic gastric tube formation with pyloromyotomy for reconstruction in patients with esophageal cancer

• Published in: Annals of surgical treatment and research Vol. 89; no. 3; pp. 117 - 123
• Main Authors: Lee, Jin Won, Sung, Sook Whan, Park, Jae Kil, Park, Cho Hyun, Song, Kyo Young
• Format: Journal Article
• Language: English
• Published: Korea (South) 대한외과학회 01.09.2015; The Korean Surgical Society
• Subjects: Original; 일반외과학; Laparoscopy; Minimally invasive surgical procedures; Esophageal cancer; Feasibility studies
• ISSN: 2288-6575; 2288-6796
• DOI: 10.4174/astr.2015.89.3.117

To analyze the benefit and feasibility of this procedure compared with those of open method. Abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. The actual procedure performed during open surgery is the same as those of laparoscopic surgery except for the main incision. Minimally invasive esophagectomy (MIE) was performed on 54 patients with esophageal cancer. The short-term outcomes, including postoperative complications were analyzed and compared with 44 cases of open method. Although the total operative time was not different between 2 groups (349.8 minutes vs. 374.8 minutes, P = 0.153), the operation time of abdominal procedure was shorter in laparoscopic group (90.6 minutes vs. 162.1 minutes, P < 0.001). Operation related complications and hospital stay were not significantly different between the 2 groups. The number of transfused patients was significantly smaller in laparoscopic group (11.1% vs. 27.9%, P = 0.030). Laparoscopic gastric tubing with pyloromyotomy is a feasible and safe treatment option for patients with esophageal cancer.