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Comparison of single- and multi-incision minimally invasive esophagectomy (MIE) for treating esophageal cancer: a propensity-matched study

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Abstract

Objective

To compare the perioperative outcome of minimally invasive (MIE) esophagectomy performed with a single- or a multi-incision in treating esophageal cancer.

Method

Patients with esophageal cancer who underwent MIE from 2006 to 2016 were evaluated. A 3–4-cm incision was created in both the thoracoscopic and the laparoscopic phases during the single-incision MIE procedures. A propensity-matched comparison was made between the two groups of patients.

Results

We analyzed a total of 48 pairs of patients with propensity-matched from the cohort of 360 patients undergoing MIE during 2006–2015. There is no statistical difference in terms of postoperative ICU and hospital stay, number of dissected lymph nodes and presence of major surgical complications (anastomotic leakage and pulmonary complications) between the two groups of patients. The pain score one week after surgery was significantly lower in the single-incision group (p < 0.05). There was no surgical mortality in the single-incision MIE group.

Conclusion

Minimally invasive esophagectomy performed with a single-incision approach is feasible for treating patients with esophageal cancer, with a comparable perioperative outcome with that of multi-incision approaches. The postoperative pain one week after surgery was significantly reduced in patients undergoing single-incision MIE.

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Acknowledgements

This study was supported by the Ministry of Science and Technology (NSC 101-2314-B-002-020-MY3; MOST103-2320-B-002-020), National Taiwan University Hospital (NTUH.104-S2650) and the Taiwan Health Foundation.

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Authors and Affiliations

  1. Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, 7, Chung-Shan South Road, Taipei, Taiwan

    Jang-Ming Lee, Shang-Chi Chen, Shun-Mao Yang, Ying-Fan Tseng, Pei-Wen Yang & Pei-Ming Huang

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  1. Jang-Ming Lee
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  2. Shang-Chi Chen
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  3. Shun-Mao Yang
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Correspondence to Jang-Ming Lee.

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Disclosures

Jang-Ming Lee, Shang-Chi Chen, Shun-Mao Yang, Ying-Fan Tseng, Pei-Wen Yang, and Pei-Ming Huang have no conflicts of interest or financial ties to disclose.

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Lee, JM., Chen, SC., Yang, SM. et al. Comparison of single- and multi-incision minimally invasive esophagectomy (MIE) for treating esophageal cancer: a propensity-matched study. Surg Endosc 31, 2925–2931 (2017). https://doi.org/10.1007/s00464-016-5308-9

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  • DOI: https://doi.org/10.1007/s00464-016-5308-9

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