Comparison of short-term outcomes between minimally invasive McKeown esophagectomy and Ivor-Lewis esophagectomy for esophageal cancer

• Published in: Zhong nan da xue xue bao. Journal of Central South University. Yi xue ban Vol. 42; no. 5; p. 546
• Main Authors: Peng, Xiong, Chen, Yun, Nassor Juma, Abdillah, Wang, Yanqing, Zhou, Yuan, Jiao, Yang, Zhang, Weixing, Zhuang, Wei
• Format: Journal Article
• Language: Chinese
• Published: China 28.05.2017
• Subjects: Anastomotic Leak - epidemiology; Anastomotic Leak - etiology; Blood Loss, Surgical - statistics & numerical data; Esophageal Neoplasms - diagnosis; Esophageal Neoplasms - surgery; Esophagectomy - classification; Esophagectomy - methods; Humans; Length of Stay; Lymph Node Excision; Neoplasms, Multiple Primary - diagnosis; Operative Time; Retrospective Studies; Treatment Outcome
• ISSN: 1672-7347
• DOI: 10.11817/j.issn.1672-7347.2017.05.011

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