The original Ivor Lewis two stage esophagectomy revisited in the era of minimally invasive surgery.
Am J Surg
; 217(3): 454-457, 2019 03.
Article
em En
| MEDLINE
| ID: mdl-30545686
ABSTRACT
BACKGROUND:
Esophagectomy has high cardiac and pulmonary complication rates that can reach 43% and 58% respectively. The original Ivor Lewis esophagectomy was a two-stage procedure. We revisited this procedure using a hybrid minimally-invasive approach.METHODS:
Thirty-five consecutive patients with esophageal cancer were operated on over an eight-year period. The first stage used laparoscopic mobilization of the stomach, while the second stage used open thoracotomy. Six patients were aborted due to unresectable disease.RESULTS:
Twenty-nine patients were studied. The mean operative times for stage-one and stage-two were 108⯱â¯18 and 226⯱â¯63â¯min respectively. All patients were extubated in the operating room. One (3.4%) patients had cardiac complication and one (3.4%) patient had pulmonary complication.CONCLUSION:
Metachronous 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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Neoplasias Esofágicas
/
Esofagectomia
/
Procedimentos Cirúrgicos Minimamente Invasivos
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2019
Tipo de documento:
Article