Minimally invasive esophagectomy: An overview

Smithers, B. Mark (2010) Minimally invasive esophagectomy: An overview. Expert Review of Gastroenterology and Hepatology, 4 1: 91-99. doi:10.1586/EGH.09.62


Author Smithers, B. Mark
Title Minimally invasive esophagectomy: An overview
Journal name Expert Review of Gastroenterology and Hepatology   Check publisher's open access policy
ISSN 1747-4124
1747-4132
Publication date 2010-02
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1586/EGH.09.62
Volume 4
Issue 1
Start page 91
End page 99
Total pages 9
Place of publication London, U.K.
Publisher Expert Reviews
Collection year 2011
Language eng
Formatted abstract
Minimally invasive approaches to esophageal resection have been shown to be feasible and safe, with outcomes similar to open esophagectomy. There are no controlled trials comparing the outcomes of minimally invasive esophagectomy (MIE) with open techniques, just a few comparative studies and many single institution series from which assessment of MIE and its present role have been made. The reported improvements from MIE approaches include reduced blood loss, time in intensive care and time in hospital. In comparative studies there is no clear reduction in respiratory complications, although larger series suggest there may be a benefit from MIE. Although MIE approaches report less lymph node retrieval compared with open extended lymphadenectomy, MIE cancer outcomes are comparable with open surgery. MIE will be a major component of the future esophageal surgeons armamentarium, but should continue to be carefully assessed. There is a role for multicentered studies to prospectively audit outcomes. Large numbers of patients would be required to perform randomized trials of MIE versus open resection.
Keyword Laparoscopic gastric mobilization
Mediastinal lymphadenectomy
Minimally invasive esophagectomy
Thoracoscopic mobilization
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Non HERDC
ERA 2012 Admin Only
ERA White List Items
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 7 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 10 times in Scopus Article | Citations
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Created: Thu, 17 Mar 2011, 16:44:24 EST by Mrs Maureen Pollard on behalf of PA - Southside Clinical School