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Best Pract Res Clin Gastroenterol. 2014 Feb;28(1):41-52. doi: 10.1016/j.bpg.2013.11.002. Epub 2013 Dec 1.

Minimally invasive surgery for oesophageal cancer.

Author information

  • 1Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Electronic address: m.c.anderegg@amc.nl.
  • 2Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Electronic address: s.s.gisbertz@amc.nl.
  • 3Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Electronic address: m.i.vanbergehenegouwen@amc.nl.

Abstract

Worldwide an increasing part of oncologic oesophagectomies is performed in a minimally invasive way. Over the past decades multiple reports have addressed the perioperative outcomes and oncologic safety of minimally invasive oesophageal surgery. Although many of these (retrospective) case-control studies identified minimally invasive oesophagectomy as a safe alternative to open techniques, the clear benefit remained subject to debate. Recently, this controversy has partially resolved due to the results of the first randomized controlled trial that compared both techniques. In this trial short-term benefits of minimally invasive oesophagectomy were demonstrated in terms of lower incidence of pulmonary infections, shorter hospital stay and better postoperative quality of life. However, the current lack of long-term data on recurrence rate and overall survival precludes a comprehensive comparison of minimally invasive and open oesophagectomy. Proclaiming minimally invasive oesophagectomy as the standard of care for patients with resectable oesophageal cancer would therefore be a premature decision.

Copyright © 2013 Elsevier Ltd. All rights reserved.

KEYWORDS:

Laparoscopy; Minimally invasive surgery; Oesophageal cancer; Oesophagectomy; Thoracoscopy

PMID:
24485254
[PubMed - indexed for MEDLINE]
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