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Laparoscopic hand-assisted versus open transhiatal esophagectomy: a case-control study
K Q Bernabe1, J S Bolton, W S Richardson
1Department of General Surgery, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
Surgical Endoscopy
|June 17, 2005
Summary
Laparoscopically assisted esophagectomy (LTE) offers advantages over open transhiatal esophagectomy (OTE), including reduced blood loss and shorter hospital stays for esophageal cancer patients.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Comparison of surgical techniques for esophagectomy.
- Evaluation of outcomes for laparoscopically assisted esophagectomy (LTE) versus open transhiatal esophagectomy (OTE).
Purpose of the Study:
- To compare the clinical outcomes of LTE and OTE.
- To determine if LTE offers advantages over OTE in terms of blood loss, operating time, and hospital stay.
Main Methods:
- Case-control study comparing 17 LTE patients with 14 matched OTE patients.
- Inclusion criteria: Stage I or lesser esophageal cancer, no prior thoracic or abdominal surgery.
- Data collected on blood loss, operating time, and hospital stay.
Main Results:
- LTE group showed significantly less estimated blood loss (331 ml vs 542 ml).
- LTE group had a significantly shorter hospital stay (9.1 days vs 11.6 days).
- LTE group had a shorter operating time (311 min vs 388 min) when comparing recent LTE cases to OTE.
Conclusions:
- Laparoscopically assisted esophagectomy (LTE) is associated with reduced blood loss and shorter hospital stays compared to open transhiatal esophagectomy (OTE).
- LTE may offer a more efficient surgical approach for selected esophageal cancer patients.