OP 78. Totally Minimally Invasive Esophagectomy with Gastric Tube Reconstruction
A Denewer, A Fathi, A Setit, M. Hegazy, A Khater, O. Hussein, S. Roshdy, F. Shahatto
Chair(s): György Wéber, Mehmet Fatih Can & Norbert Németh
8:30 - 8:40h
at Pest Room (C)
Categories: Oral Session, Robotic and Minimal Invasive Surgery
Session: Oral Session IX - Robotic and Minimal Invasive Surgery
Background
Minimally invasive esophagectomy (MIE) nowadays is replacing the classic open technique.Additional studies are needed to confirm its safety and efficacy
Material and Methods
Sixty patients with esophageal carcinoma were enrolled in this study. Patients were evaluated preoperatively, underwent thoracoscopic and laparoscopic procedures for assessment of resectability. Resectable patients underwent thoracoscopic radical esophagectomy with laparoscopic gastric tube reconstruction and anastomosis through neck incision
Result
Forty seven patients were operable and 13 patients were inoperable. The mean operative time for the whole procedure was 5.97 ± 1.66 hours. The mean blood loss was 250 ± 138.07 cc. The mean overall hospital stay was 15.51 ± 4.24 days. Common postoperative complications included pneumonia (17%), pleural effusion (8.5%), cervical anastomotic leakage (8.5%), and wound infection (4.3%).One patient died in the early postoperative period (18 days).
Conclusion
We conclude that totally endoscopic (thoracoscopic and laparoscopic) esophagectomy is feasible and relatively safe technique. Beside its efficacy as an assessment tool, total esophagectomy and lymphadenectomy could be performed in the same time.
