Minimally invasive surgery for oesophageal cancer

Abstract Worldwide an increasing part of oncologic oesophagectomies is performed in a minimally invasive way. Over the past decades multiple reports have addressed the perioperative outcomes and oncologic safety of minimally invasive oesophageal surgery. Although many of these (retrospective) case–c...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2014-02, Vol.28 (1), p.41-52
Main Authors: Anderegg, Maarten C.J., MD, Gisbertz, Suzanne S., MD, PhD, van Berge Henegouwen, Mark I., MD, PhD
Format: Article
Language:English
Subjects:
Dissection
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy - adverse effects
Esophagectomy - methods
Esophagectomy - mortality
Esophagectomy - standards
Gastroenterology and Hepatology
Humans
Intensive care
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - mortality
Laparoscopy - standards
Minimally invasive surgery
Minimally Invasive Surgical Procedures
Mortality
Neoplasm Recurrence, Local - etiology
Oesophageal cancer
Oesophagectomy
Ostomy
Patient Selection
Patients
Risk Factors
Robotics
Standard of Care
Surgery
Surgery, Computer-Assisted
Thoracic Surgical Procedures - adverse effects
Thoracic Surgical Procedures - mortality
Thoracic Surgical Procedures - standards
Thoracoscopy
Treatment Outcome
Tumors
Veins & arteries
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Summary:Abstract Worldwide an increasing part of oncologic oesophagectomies is performed in a minimally invasive way. Over the past decades multiple reports have addressed the perioperative outcomes and oncologic safety of minimally invasive oesophageal surgery. Although many of these (retrospective) case–control studies identified minimally invasive oesophagectomy as a safe alternative to open techniques, the clear benefit remained subject to debate. Recently, this controversy has partially resolved due to the results of the first randomized controlled trial that compared both techniques. In this trial short-term benefits of minimally invasive oesophagectomy were demonstrated in terms of lower incidence of pulmonary infections, shorter hospital stay and better postoperative quality of life. However, the current lack of long-term data on recurrence rate and overall survival precludes a comprehensive comparison of minimally invasive and open oesophagectomy. Proclaiming minimally invasive oesophagectomy as the standard of care for patients with resectable oesophageal cancer would therefore be a premature decision.
ISSN:1521-6918
1532-1916
DOI:10.1016/j.bpg.2013.11.002