Format

Send to

Choose Destination
See comment in PubMed Commons below
Langenbecks Arch Surg. 2009 Jul;394(4):617-21. doi: 10.1007/s00423-008-0354-y. Epub 2008 Jun 10.

Total laparoscopic gastric mobilization for esophagectomy.

Author information

1
Department of Surgery, Kochi Medical School, Kohasu-Okocho, Nankoku-City, Kochi, 783-8505, Japan.

Abstract

BACKGROUND AND AIMS:

The operative mortality and morbidity associated with esophageal surgery has been decreasing with advances in surgical techniques and equipment, however, postoperative complication remains a major cause of a potentially fatal outcome. We herein describe a new technique for esophagectomy by total laparoscopic gastric mobilization technique as a minimally invasive surgery.

PATIENTS AND METHODS:

Between April 2003 and August 2007, 36 patients who were suffering from esophageal cancer were surgically resected at Kochi Medical School. Operation-related parameters, mortality, postoperative complication, intubation time, and length of surgical intensive care unit in patients with total laparoscopic gastric mobilization for esophagectomy (the TLGM group, n = 16) were evaluated, compared to patients with ordinary thoraco-abdominal esophagectomy (the OPEN group, n = 20).

RESULTS:

There was no mortality in the TLGM group and one hospital death in the OPEN group. Operation time of the OPEN group (506 +/- 64 min) was significant shorter than that of the TLGM group (558 +/- 67 min). The estimated intraoperative blood loss volume in patients of the TLGM group (496 +/- 259 mL) was much smaller than those of the OPEN group (1,067 +/- 566 mL). The intubation time and the intensive care unit stay in the TLGM group were much shorter than that in the OPEN group.

CONCLUSIONS:

Esophagectomy with regional lymphadenectomy combined with total laparoscopic gastric mobilization is a safe and beneficial opportunity for patients who underwent surgical procedure for esophageal cancer.

PMID:
18542990
DOI:
10.1007/s00423-008-0354-y
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center