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Short-term outcomes after minimally invasive oesophagectomy
Alan Patrick Ainsworth1, Michael Hareskov Larsen, Lars Ladegaard
1alan.ainsworth@dadlnet.dk.
Danish Medical Journal
|July 19, 2019
Summary
Minimally invasive oesophagectomy (MIO) shows improved procedure times and reduced blood loss. This technique was successfully introduced with acceptable patient outcomes and short-term oncological results.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Minimally invasive oesophagectomy (MIO) is increasingly adopted.
- This study evaluates the initial patient cohort undergoing MIO at a specific department.
Purpose of the Study:
- To report the outcomes of the first patients treated with MIO.
- To assess the feasibility, safety, and short-term results of introducing MIO.
Main Methods:
- Prospective data collection for 150 patients undergoing MIO.
- Comparison of the first 75 patients with the subsequent 75 patients.
- Follow-up until death, two years post-surgery, or January 1, 2019.
Main Results:
- Median procedure time decreased from 350 to 320 minutes (p < 0.05).
- Median blood loss reduced from 200 ml to 100 ml (p < 0.05).
- Morbidity rates included 18% pulmonary and 11% cardiac complications; 30-day mortality was 2%; one-year survival was 86%.
Conclusions:
- Minimally invasive oesophagectomy (MIO) can be successfully introduced with acceptable morbidity and mortality.
- Short-term oncological outcomes were not compromised by the adoption of MIO.
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