Laparoscopic hand-assisted vs open transhiatal esophagectomy: A case-control study

Bernabe, K. Q., Bolton, J. S. and Richardson, W. S. (2005). Laparoscopic hand-assisted vs open transhiatal esophagectomy: A case-control study. In: Surgical Endoscopy and Other Interventional Techniques. Annual Meeting of the Society of American Gastrointestinal Endoscopic Surgeons, Denver, CO, United States, (334-337). 31 March-3 April 2004. doi:10.1007/s00464-004-8807-z


Author Bernabe, K. Q.
Bolton, J. S.
Richardson, W. S.
Title of paper Laparoscopic hand-assisted vs open transhiatal esophagectomy: A case-control study
Conference name Annual Meeting of the Society of American Gastrointestinal Endoscopic Surgeons
Conference location Denver, CO, United States
Conference dates 31 March-3 April 2004
Proceedings title Surgical Endoscopy and Other Interventional Techniques   Check publisher's open access policy
Journal name Surgical Endoscopy and Other Interventional Techniques   Check publisher's open access policy
Place of Publication Secaucus, NJ, United States
Publisher Springer
Publication Year 2005
Sub-type Fully published paper
DOI 10.1007/s00464-004-8807-z
ISSN 0930-2794
1432-2218
Volume 19
Issue 3
Start page 334
End page 337
Total pages 3
Language eng
Formatted Abstract/Summary
Background
This case-control study evaluated and compared the outcomes of laparoscopically assisted (LTE) and open transhiatal esophagectomy (OTE).

Methods
In this study, 17 patients who underwent LTE during this period August 1999 through June 2003 were compared with 14 matched control patients who underwent OTE during this period December 1989 through September 2001. The groups had stage I esophageal cancer or lesser disease at the preoperative evaluation. Patients with prior upper abdominal or thoracic surgery were excluded.

Results
There was no significant difference between the groups with respect to age, body mass index, American Society of Anesthesiology (ASA) classification, or operating time. The estimated blood loss was 331 (± 220) ml for LTE and 542 (± 212) ml for OTE (p = 0.01). The hospital stay was 9.1 (± 3.2) days for LTE and 11.6 (± 2.9) days for OTE (p = 0.04). Comparing only the last six LTE with the OTE, the operating time was 311 (± 31) min for LTE and 388 (± 14) min for OTE (p = 0.02).

Conclusions
The findings showed shorter operative time, less blood loss, and a shorter hospital stay with LTE than with OTE.
Keyword laparoscopically assisted esophagectomy
transhiatal esophagectomy
laparoscopic esophageal surgery
Barrett's dysplasia
minimally invasive esophagectomy
Q-Index Code E1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Conference Paper
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Created: Mon, 14 Mar 2011, 10:49:00 EST