Clinical benefits of thoracoscopic esophagectomy in the prone position for esophageal cancer

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• 作者：Makoto Iwahashi (1)
  Mikihito Nakamori (1)
  Masaki Nakamura (1)
  Toshiyasu Ojima (1)
  Masahiro Katsuda (1)
  Takeshi Iida (1)
  Keiji Hayata (1)
  Hiroki Yamaue (1)
  
• 关键词：Minimally invasive esophagectomy ; Thoracoscopic esophagectomy ; Esophageal cancer ; Prone position ; Postoperative pulmonary function ; Postoperative morbidity
• 刊名：Surgery Today
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：44
• 期：9
• 页码：1708-1715
• 全文大小：261 KB
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• 作者单位：Makoto Iwahashi (1)
  Mikihito Nakamori (1)
  Masaki Nakamura (1)
  Toshiyasu Ojima (1)
  Masahiro Katsuda (1)
  Takeshi Iida (1)
  Keiji Hayata (1)
  Hiroki Yamaue (1)
  
  1. Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan
  
• ISSN：1436-2813

文摘

Purposes The clinical benefits of thoracoscopic radical esophagectomy in the prone position compared to conventional open esophagectomy have not been fully documented. Methods Forty-six patients with esophageal cancer who underwent MIE in the prone position (MIE-P group) were enrolled, and 46 case-matched controls that underwent open esophagectomy (OE group) were identified using propensity score methods to achieve a valid comparison of outcomes between MIE and open esophagectomy. Results The duration of systemic inflammatory response syndrome was shorter in the MIE-P group than in OE group (P?=?0.005). The time to first walking was earlier in the MIE-P group (P?P?P?=?0.020). Two patients (4.3?%) in the OE group and one patient in the MIE-P group (2.2?%) had pneumonia. Conclusions MIE in the prone position was associated with less impairment of the pulmonary function, earlier recovery of activity and lower subsequent morbidity compared to open esophagectomy. Further investigation of the long-term outcomes is, therefore, needed.