Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer
BACKGROUND: As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. Th...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Annals of Thoracic Medicine |
| Subjects: | |
| Online Access: | http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2023;volume=18;issue=1;spage=39;epage=44;aulast=Liu |
| _version_ | 1797904965492015104 |
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| author | Bo Liu Xu Li Min-Jie Yu Jin-Bao Xie Guo-Liang Liao Ming-Lian Qiu |
| author_facet | Bo Liu Xu Li Min-Jie Yu Jin-Bao Xie Guo-Liang Liao Ming-Lian Qiu |
| author_sort | Bo Liu |
| collection | DOAJ |
| description | BACKGROUND: As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. The aim of the present study was to explore the preliminary clinical outcomes and feasibility of this innovative surgery.
METHODS: From March 2020 to November 2021, patients undergoing SLRM combined with four-port thoracoscopic McKeown esophagectomy for their esophageal cancers were reviewed. Gastric mobilization with abdominal lymph node dissection was performed through SLRM. The clinical characteristics and short-term outcomes were analyzed retrospectively.
RESULTS: A total of 120 patients underwent R0 resection without conversion to open surgery. The mean times needed for the thoracic part, abdominal part, and total operation were 43 ± 6 min, 60 ± 18 min, and 230 ± 20 min, respectively. The numbers of mediastinal and abdominal lymph nodes harvested were 13.2 ± 2.7 and 10.2 ± 2.5, respectively. Postoperative pneumonia was encountered in 10 (8.3%) patients. Anastomotic leakage occurred in 3 (2.5%) cases. Temporary vocal cord paralysis was reported in 20 (16.6%) cases. The mean length of hospital stay was 8.5 ± 4.6 days.
CONCLUSIONS: The SLRM is a technically feasible and safe treatment for patients with esophageal cancer. It can be considered an alternative method for patients, especially for the ones with obesity and gastric distension. |
| first_indexed | 2024-04-10T09:57:24Z |
| format | Article |
| id | doaj.art-2e9034fdd74f4caba5f1845125364058 |
| institution | Directory Open Access Journal |
| issn | 1817-1737 1998-3557 |
| language | English |
| last_indexed | 2024-04-10T09:57:24Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Thoracic Medicine |
| spelling | doaj.art-2e9034fdd74f4caba5f18451253640582023-02-16T12:02:55ZengWolters Kluwer Medknow PublicationsAnnals of Thoracic Medicine1817-17371998-35572023-01-01181394410.4103/atm.atm_205_22Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancerBo LiuXu LiMin-Jie YuJin-Bao XieGuo-Liang LiaoMing-Lian QiuBACKGROUND: As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. The aim of the present study was to explore the preliminary clinical outcomes and feasibility of this innovative surgery. METHODS: From March 2020 to November 2021, patients undergoing SLRM combined with four-port thoracoscopic McKeown esophagectomy for their esophageal cancers were reviewed. Gastric mobilization with abdominal lymph node dissection was performed through SLRM. The clinical characteristics and short-term outcomes were analyzed retrospectively. RESULTS: A total of 120 patients underwent R0 resection without conversion to open surgery. The mean times needed for the thoracic part, abdominal part, and total operation were 43 ± 6 min, 60 ± 18 min, and 230 ± 20 min, respectively. The numbers of mediastinal and abdominal lymph nodes harvested were 13.2 ± 2.7 and 10.2 ± 2.5, respectively. Postoperative pneumonia was encountered in 10 (8.3%) patients. Anastomotic leakage occurred in 3 (2.5%) cases. Temporary vocal cord paralysis was reported in 20 (16.6%) cases. The mean length of hospital stay was 8.5 ± 4.6 days. CONCLUSIONS: The SLRM is a technically feasible and safe treatment for patients with esophageal cancer. It can be considered an alternative method for patients, especially for the ones with obesity and gastric distension.http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2023;volume=18;issue=1;spage=39;epage=44;aulast=Liuesophageal cancermckeown esophagectomyretrograde three-step gastric mobilizationsingle-port laparoscopic |
| spellingShingle | Bo Liu Xu Li Min-Jie Yu Jin-Bao Xie Guo-Liang Liao Ming-Lian Qiu Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer Annals of Thoracic Medicine esophageal cancer mckeown esophagectomy retrograde three-step gastric mobilization single-port laparoscopic |
| title | Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer |
| title_full | Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer |
| title_fullStr | Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer |
| title_full_unstemmed | Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer |
| title_short | Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer |
| title_sort | application of single port laparoscopic retrograde gastric mobilization during mckeown esophagectomy for esophageal cancer |
| topic | esophageal cancer mckeown esophagectomy retrograde three-step gastric mobilization single-port laparoscopic |
| url | http://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2023;volume=18;issue=1;spage=39;epage=44;aulast=Liu |
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