• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Minimally Invasive Reconstruction after Resection of Neoplasms of the Foregut: Outcomes of the National Cancer Institute of Peru.

Minimally Invasive Reconstruction after Resection of Neoplasms of the Foregut: Outcomes of the National Cancer Institute of Peru.

Francisco E Berrospi, MD, Ramiro M Fernández, MD, Eloy F Ruiz, MD, Ivan K Chávez, MD. National Cancer Institute – Peru

Introduction: Surgical resection remains the mainstay treatment for neoplasms of the hypopharynx, esophagus and esophago-gastric junction, although there are many options for reconstruction, in the last decades minimally-invasive surgery (MIS) has gained acceptance. The aim of this study is to present our clinical outcomes in different neoplasms of the foregut and the changes observed in the last 12 years with MIS.

Methods and Procedures: A retrospective study of the patients who had MIS reconstruction with the remnant stomach was performed. Clinical (age, sex, year of surgery, open or MIS, type of reconstruction, type of anastomosis, operative time), pathologic (primary neoplasm, histologic type) and postoperative course data (days of hospitalization, complications according to Dindo-Clavien Classification, anastomotic leak, mortality) were considered for analysis.

Results: Between February 2006 and April 2017 a total of 84 patients had esophagectomy, of them 42 were male and 42 female (1:1), mean age was 60.13 years (SD ±11.9), 59 patients (72%) had MIS. The type of reconstruction was predominantly with a “pull-up” technique (n=43, 51.2%) followed by the Kirschner-Akiyama procedure (n=25, 29.8%), stapled gastroplasty was performed in 12 patients. All the anastomosis were performed at the level of the neck and only one of the patients had a stapled anastomosis, mean operative time was 374min (SD ±92min) including resection of the specimen. Primary neoplasms were predominantly hypopharynx (n=34, 40.5%), distal esophagus (n=21, 25%), cervical esophagus (n=12, 14.3%) and thoracic esophagus (n=11, 13.1%). Histologic types were mainly squamous cell carcinoma (n=63, 77.4%) and adenocarcinoma (n=12, 14.3%).  Mean of hospitalization days was 14.76 (SD ±9.374). No complications were observed in 38 patients and major complications (Dindo-Clavien ≥IIIb) were found in 18 patients. Anastomotic leak was present in 6 patients (7.1%) and perioperative mortality (30 days) was 2.4%. Progressive shift to laparoscopic surgery was evidenced through the years (2006-2009: 35.29%, 2010-2013:70.27% and 2014-2017:96.43%; p=0.000) and reduction in major complications (p=0,021) was observed. Anastomotic leaks (p=0,545) and perioperative mortality (p=0.373) did not show significant differences in the present study.

Conclusions: Results in our center show that major complications decrease with time after application of minimally-invasive surgery and no differences in anastomotic leaks and mortality were seen. Current data has lead us to abandon open total esophagectomy as a first-choice procedure. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88366

Program Number: P392

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

32

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals