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Updated: Jun 13, 2026
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Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
Open versus minimally invasive esophagectomy: a single-center case controlled study
Sebastian F Schoppmann1, Gerhard Prager, Felix B Langer
1Department of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. sebastian.schoppmann@meduniwien.ac.at
Surgical Endoscopy
|May 14, 2010
Summary
Minimally invasive esophagectomy (MIE) shows improved postoperative outcomes compared to open esophagectomy (OE). This study found MIE significantly reduces surgical morbidity, transfusion rates, and hospital stay, supporting its clinical feasibility.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Minimally invasive esophagectomy (MIE) techniques are advancing.
- While complex, MIE shows potential for improved outcomes in esophagectomy.
Purpose of the Study:
- To compare the outcomes of minimally invasive esophagectomy (MIE) versus open esophagectomy (OE).
- To evaluate postoperative morbidity and other key metrics between MIE and OE.
Main Methods:
- A case-controlled, pair-matched study of 62 patients undergoing MIE or OE (2004-2007).
- Patients matched by tumor stage, localization, sex, age, and preoperative ASA score.
- Recorded data included pathologic stage, operative time, blood loss, transfusion, hospital stay, morbidity, and mortality.
Main Results:
- MIE group had significantly lower surgical morbidity (25% vs. 74%), transfusion rates (12.9% vs. 41.9%), and respiratory complications (9.7% vs. 38.7%).
- Hospital stay was shorter for MIE (12 days vs. 24 days).
- No significant difference in operative time, lymph node yield, or complete resection rates.
Conclusions:
- Minimally invasive esophagectomy (MIE) is feasible and associated with reduced postoperative morbidity.
- Findings support MIE as a viable alternative to open esophagectomy.
- Results warrant further investigation via a prospectively randomized study.
