Efficacy of Laparoscopic Gastric Mobilization for Esophagectomy: Comparison With Open Thoraco-Abdominal Approach

Hiroyuki Kitagawa, Tsutomu Namikawa, Jun Iwabu, Michiya Kobayashi, Kazuhiro Hanazaki. Kochi Medical School

 

BACKGROUND: Less invasive esophagectomy using laparoscopic or thoracoscopic surgery has been reported better than conventional open thoraco-abdominal approach. But few report directly compared laparoscopic gastric mobilization (LGM) and thoracotmy with laparotomy and thoracotomy. The aim of this study was to investigate the efficacy of LGM compared with open thoraco-abdominal esophagectomy (OE) on thoracic esophageal cancer. METHODS: We retrospectively reviewed 92 consecutive patients underwent esophagectomy by OE (n = 47) or LGM (n = 45) between 1999 and 2009 at Kochi Medical School to analyze the surgical outcomes. RESULTS: Patients underwent LGM had significantly lower intraoperative blood loss (430 vs. 1060 ml, P < 0.001), lower rate of postoperative infections (POI) (33.3 vs. 55.3 %, P = 0.034), shorter length of ICU stay (1 vs. 3 days, P < 0.001), and hospital stay (35 vs. 46 days, P = 0.003). CONCLUSIONS: The current study demonstrated that LGM was of clinical benefit for patients with resectable esophageal cancer and safer procedure compared to OE. Our results suggested that LGM for esophageal cancer reduced the POI and shorten the duration of hospital stay compared with OE.


Session Number: Poster – Poster Presentations
Program Number: P206
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