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Updated: Dec 27, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Efficacy of Video-assisted Thoracoscopic Esophagectomy for Stage II/III Esophageal Cancer: Analysis Using the
Kenta Iguchi1,2, Chikara Kunisaki3, Sho Sato1
1Department of Surgery, Gastroenterological Center, Yokohama City University Medical Center, Yokohama, Japan.
Background/Aim:
The purpose of this study was to evaluate the usefulness of minimally invasive esophagectomy (MIE) for stage II/III esophageal cancer (EC).
Patients And Methods:
We compared surgical outcomes between MIE and open esohagectomy in EC patients with pStage II/III using the propensity scoring system.
Results:
Fifty-seven patients were classified into the MIE group and 57 patients into the open esophagectomy (OE) group. The incidence of major complications was similar between the two groups. The 5-year OS was significantly better in the MIE group (69.0% vs. 35.5%; p=0.004) and no significant difference was observed in the 5-year recurrence-free survival (RFS, 52.2% vs. 29.2%; p=0.064). Multivariate analysis showed MIE was a prognostic factor of OS (p<0.001) and RFS (p=0.032).
Conclusion:
MIE was as safe and feasible as OE, and an independent prognostic factor for OS and RFS in patients with stage II/III EC.
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