Minimally Invasive Esophagectomy Provides Equivalent Survival to Open Esophagectomy: An Analysis of the National Cancer Database

The use of minimally invasive esophagectomy (MIE) is increasing despite limited evidence to support its efficacy. We compared overall survival and perioperative mortality for MIE vs open esophagectomy (OE). We queried the National Cancer Database for all patients having esophagectomy as the primary...

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Bibliographic Details
Published in:Seminars in thoracic and cardiovascular surgery 2017, Vol.29 (2), p.244-253
Main Authors: Mitzman, Brian, Lutfi, Waseem, Wang, Chi-Hsiung, Krantz, Seth, Howington, John A., Kim, Ki-Wan
Format: Article
Language:English
Subjects:
Aged
Chi-Square Distribution
Databases, Factual
esophageal cancer
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy - adverse effects
Esophagectomy - methods
Esophagectomy - mortality
esophagus
Female
Humans
Kaplan-Meier Estimate
laparoscopic
Laparoscopy - adverse effects
Laparoscopy - mortality
Length of Stay
Lymphatic Metastasis
Male
Margins of Excision
Middle Aged
minimally invasive surgery
Neoplasm Staging
Postoperative Complications - etiology
Propensity Score
Risk Factors
surgery
thoracoscopic
Thoracoscopy - adverse effects
Thoracoscopy - mortality
Time Factors
Treatment Outcome
United States
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Summary:The use of minimally invasive esophagectomy (MIE) is increasing despite limited evidence to support its efficacy. We compared overall survival and perioperative mortality for MIE vs open esophagectomy (OE). We queried the National Cancer Database for all patients having esophagectomy as the primary procedure for primary squamous cell cancer and adenocarcinoma from 2010 through 2012. A propensity score analysis was performed. Postoperative pathology and quality, as well as overall patient survival outcomes, were compared between OE and MIE. The use of MIE increased from 26.9% in 2010 to 36.3% in 2012 (P 
ISSN:1043-0679
1532-9488
DOI:10.1053/j.semtcvs.2017.03.007