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J Minim Access Surg. 2018 Aug 7. doi: 10.4103/jmas.JMAS_81_18. [Epub ahead of print]

Evaluation of 5-year results of laparoscopic transhiatal oesophagectomy as a single-centre experience.

Author information

1
Department of Minimally Invasive Surgery and Oncosurgery, Galaxy Care Laparoscopy Institute, Pune, Maharashtra, India.

Abstract

Introduction:

Minimal Invasive Surgery of oesophageal cancers is gaining popularity. We have published our Thoracoscopic Esophagectomy results. The present study focuses on our expertise of TransHiatal Esophagectomy.

Materials and Methods:

287 patients underwent Esophagectomies for Cancer of Esophagus at Galaxy Care Laparoscopy Institute from January 2010 to December 2014 after thorough assesment. Out of these, 81 patients underwent laparoscopic trans hiatal esophagectomies. Their charts were reviewed retrospectively for intraoperative and postoperative results. The median follow up was 28 months.

Results:

Out of 81 patients,76 patients had R0 resection and 5 had R1. The average lymphnode yield was 20,average survival was 28months. 3 patients had local recurrence,18 had regional recurrence and 30 had distant recurrence. Average operating time was 140 min,mean blood loss was 80 ml. Average Post-operative ICU stay was 1 day and hospital stay 7 days.

Conclusion:

Classic THE has limitations which can be overcome by the use of laparoscopic techniques. Laparoscopic approach for THE has better magnified vision facilitating better clearance under vision. Hence we recommend laparoscopic technique for THE to minimize morbidity and improve oncologic results.

KEYWORDS:

Laparoscopy; oesophageal cancer; trans hiatal esophagectomy

PMID:
30106030
DOI:
10.4103/jmas.JMAS_81_18
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