Postoperative Complications and Survival Rate of Esophageal Cancer: Two-period Analysis

Publication date: Available online 13 October 2018Source: Cirugía Española (English Edition)Author(s): Gregorio Isaías Moral Moral, Mar Viana Miguel, Óscar Vidal Doce, Rosa Martínez Castro, Romina Parra López, Alberto Palomo Luquero, María José Cardo Díez, Isabel Sánchez Pedrique, Jorge Santos González, Jesús Zanfaño PalaciosAbstractIntroductionNowadays, treatment of esophageal cancer requires a multidisciplinary approach, in which esophagectomy remains the mainstay. The aim of this report is to assess whether multimodal treatment and minimally invasive surgery have led to a lower morbidity rate and an improvement in survival rates.MethodsRetrospective evaluation of 318 patients diagnosed with esophageal cancer including 81 esophagectomies. The periods of 2000–2007 and 2008–2015 were compared, analyzing the prognostic factors that may have an impact in morbidity and survival rate.ResultsMajor postoperative complications according to the Clavien–Dindo classification accounted for 35%, showing a decrease between the 1st and 2nd period: 41% morbidity vs 30%, 27% mortality vs 9% (P
Source: Cirugia Espanola - Category: Surgery Source Type: research

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AbstractAlthough esophageal cancers have poor survival outcomes, evidence suggests that preoperative chemoradiation followed by surgery have improved survival outcomes. Minimally invasive surgery has equivalent oncological outcomes with less complication compared with open surgery, but there is insufficient data available in South Indian population. Our aim was to analyze the perioperative outcome and survival between minimally invasive and open transhiatal esophagectomy group. Data from patients operated for esophageal cancer in our department from the year 2015 to 2018 were collected retrospectively using medical records...
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research
Feature Editor's Note —Thoracic surgery is a specialty that embraces highly complex operative procedures while leading the universal field of minimally invasive surgery. Esophagectomy is arguably one of the most technically demanding gastrointestinal procedures, and its learning curve is not gentle. In the not too dist ant past, many would not have predicted that one-third of all esophagectomies performed by participants in the Society of Thoracic Surgeons database would be minimally invasive esophagectomies (MIEs).
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Thoracic: Esophageal cancer: Invited expert ppinion Source Type: research
Authors: Fransen LFC, Luyer MDP Abstract An esophagectomy is still correlated with a high morbidity rate, despite advances made in minimally invasive surgery, enhanced recovery after surgery (ERAS) and centralization of this type of surgery. The short-term benefits are clearly described for esophageal cancer surgery patients, however, the long-term effects are yet to be determined. In colorectal cancer, the association between complications, especially anastomotic leakage, shows detrimental effects on long-term survival and cancer recurrence. In esophageal cancer surgery, current evidence is scarce and the describe...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Authors: Seesing MFJ, Kingma BF, Weijs TJ, Ruurda JP, van Hillegersberg R Abstract The cornerstone of curative care for esophageal cancer is neoadjuvant chemoradiotherapy followed by esophagectomy with a radical lymphadenectomy. An esophagectomy is a major and complex surgical procedure and is often followed by postoperative morbidity, especially pulmonary complications. These complications may lead to an increase in hospital stay, intensive care unit admission rate and mortality. Therefore, perioperative strategies to reduce these complications have been investigated and implemented in clinical practice. In this r...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
ConclusionsMinimally invasive surgery for esophageal malignancies offers advantages when performed in an environment with sufficient expertise and caseload. Whether robotic-assisted minimally invasive esophagectomy further improves the results has to be investigated in the future. Intraoperative nerve monitoring and visualization of the graft perfusion with indocyanine green fluorescein should be used where available. Enhanced recovery protocols after surgery have become standard.
Source: Memo - Magazine of European Medical Oncology - Category: Cancer & Oncology Source Type: research
ConclusionsOur preliminary results demonstrate that this technique is safe and feasible for treating esophageal cancer within an acceptable length of operation time, which does not compromise the surgical radicality.
Source: World Journal of Surgery - Category: Surgery Source Type: research
CONCLUSIONMetachronous hybrid two-stage esophagectomy was associated with a low rate of cardio-pulmonary complications. It may be considered as an alternative to the one-stage esophagectomy, especially in low-volume centers, to decrease these high-risk cardio-pulmonary complications.
Source: The American Journal of Surgery - Category: Surgery Source Type: research
zález J, Zanfaño Palacios J Abstract INTRODUCTION: Nowadays, treatment of esophageal cancer requires a multidisciplinary approach, in which esophagectomy remains the mainstay. The aim of this report is to assess whether multimodal treatment and minimally invasive surgery have led to a lower morbidity rate and an improvement in survival rates. METHODS: Retrospective evaluation of 318 patients diagnosed with esophageal cancer including 81 esophagectomies. The periods of 2000-2007 and 2008-2015 were compared, analyzing the prognostic factors that may have an impact in morbidity and survival rate. ...
Source: Cirugia eEspanola - Category: Surgery Authors: Tags: Cir Esp Source Type: research
Abstract More than 4000 da Vinci Surgical Systems have been installed worldwide. Robotic surgery using the da Vinci Surgical System has been increasingly performed in the last decade, especially in urology and gynecology. The da Vinci Surgical System has not become standard in surgery of the upper gastrointestinal tract because of a lack of clear benefits in comparison with conventional minimally invasive surgery. We initiated robotic gastrectomy and esophagectomy for patients with upper gastrointestinal cancer in 2009, and we have demonstrated the potential advantages of the da Vinci Surgical System in reducing postoperat...
Source: Asian Journal of Endoscopic Surgery - Category: Surgery Authors: Tags: Review Article Source Type: research
Discussion and conclusionThough our series have limitations of retrospective study and substantial bias, the feasibility and safety of thoracoscopic esophagectomy with three-field lymphadenectomy was shown. Higher paratracheal lymph nodes along the recurrent laryngeal nerves could be dissected from the mediastinal side in V group. Thoracoscopic esophagectomy, which is regarded as minimally invasive surgery in other countries, is being accepted in Japan mainly in the expectation of more thorough and meticulous lymphadenectomy. At the same time, the dissection range is continuously re-evaluated for safer surgery maintaining radicality.
Source: Esophagus - Category: Gastroenterology Source Type: research
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