Comparison of short-term outcomes between minimally invasive McKeown esophagectomy and Ivor-Lewis esophagectomy for esophageal cancer
To summarize the outcomes of 74 patients with minimally invasive McKeown esophagectomy (MIE-McKeown), and to discuss the short-term outcomes by comparing with Ivor-Lewis esophagectomy (ILE) procedure. Methods: A total of 74 patients with esophageal carcinoma underwent MIE-McKeown in Xiangya Hospita...
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Published in | Zhong nan da xue xue bao. Journal of Central South University. Yi xue ban Vol. 42; no. 5; p. 546 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | Chinese |
Published |
China
28.05.2017
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Subjects | |
Online Access | Get more information |
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Summary: | To summarize the outcomes of 74 patients with minimally invasive McKeown esophagectomy (MIE-McKeown), and to discuss the short-term outcomes by comparing with Ivor-Lewis esophagectomy (ILE) procedure.
Methods: A total of 74 patients with esophageal carcinoma underwent MIE-McKeown in Xiangya Hospital from November 2014 to July 2016 were retrospectively reviewed, and 85 patients underwent ILE procedure were selected as a control group. Perioperative and short-term outcomes were analyzed.
Results: Compared with the ILE group, patients underwent MIE-McKeown had less blood loss, less pulmonary infection, longer resection length and more harvested lymph nodes (P<0.05), but they had more anastomotic leakage and stricture rate, longer operation time and hospital stay as well (P<0.05). The total rate of lymph node metastatic in all patients was 52.8%, and the rate of cervical lymph node metastases was 9.5% in the MIE-McKeown group. Multiple carcinomas were found in 16 cases, and 7 were proximally located. The distan |
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ISSN: | 1672-7347 |
DOI: | 10.11817/j.issn.1672-7347.2017.05.011 |