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Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series

OBJECTIVE: Minimally invasive esophagectomy (MIE) is increasingly used for the treatment of esophageal cancer. However, MIE via the Sweet approach has seldom been reported owing to the challenging procedure for a mediastinal lymph node. Thus, the approach of MIE via left-sided thoracoscopy coupled w...

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Autores principales: Wang, Wenxiang, Zhang, Baihua, Li, Xu, Wu, Jie, Wu, Zhining, Ding, Yan, Yang, Desong, Tang, Jinming, Su, Min, Ma, Junliang, You, Xianman, Liang, Jianping, Zhou, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732631/
https://www.ncbi.nlm.nih.gov/pubmed/29302639
http://dx.doi.org/10.1097/IJ9.0000000000000045
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author Wang, Wenxiang
Zhang, Baihua
Li, Xu
Wu, Jie
Wu, Zhining
Ding, Yan
Yang, Desong
Tang, Jinming
Su, Min
Ma, Junliang
You, Xianman
Liang, Jianping
Zhou, Yong
author_facet Wang, Wenxiang
Zhang, Baihua
Li, Xu
Wu, Jie
Wu, Zhining
Ding, Yan
Yang, Desong
Tang, Jinming
Su, Min
Ma, Junliang
You, Xianman
Liang, Jianping
Zhou, Yong
author_sort Wang, Wenxiang
collection PubMed
description OBJECTIVE: Minimally invasive esophagectomy (MIE) is increasingly used for the treatment of esophageal cancer. However, MIE via the Sweet approach has seldom been reported owing to the challenging procedure for a mediastinal lymph node. Thus, the approach of MIE via left-sided thoracoscopy coupled with video-assisted cervical mediastinoscopy (MIE-SM) was explored for eradicating the mediastinal lymph nodes and recurrent laryngeal nerve; the incidence of perioperative complications, mortality, and surgical radicality were analyzed. MATERIALS AND METHODS: Thirty patients with esophageal carcinoma underwent MIE-SM between June 2014 and February 2016. The primary outcome was postoperative morbidity within 2 weeks postsurgery. The secondary outcome was surgical radicality, including the circumferential margins, and the number of lymph nodes dissected. RESULTS: The MIE-SM was completed in all patients within 367.6±68.7 minutes. The incidences of postoperative morbidities including pulmonary complications, anastomotic leakage, chylothorax, or recurrent nerve injury were 43.3%. CONCLUSION: The MIE-SM was utilized for the first time to reduce the disadvantage of purely Sweet and McKeown approach, with favorable efficacy in the mediastinal and laryngeal recurrent nerve lymph node eradication. Thus, MIE-SM might be a promising alternative approach in treating esophageal cancer in selected patients.
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spelling pubmed-57326312018-01-02 Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series Wang, Wenxiang Zhang, Baihua Li, Xu Wu, Jie Wu, Zhining Ding, Yan Yang, Desong Tang, Jinming Su, Min Ma, Junliang You, Xianman Liang, Jianping Zhou, Yong Int J Surg Oncol (N Y) Experimental Research OBJECTIVE: Minimally invasive esophagectomy (MIE) is increasingly used for the treatment of esophageal cancer. However, MIE via the Sweet approach has seldom been reported owing to the challenging procedure for a mediastinal lymph node. Thus, the approach of MIE via left-sided thoracoscopy coupled with video-assisted cervical mediastinoscopy (MIE-SM) was explored for eradicating the mediastinal lymph nodes and recurrent laryngeal nerve; the incidence of perioperative complications, mortality, and surgical radicality were analyzed. MATERIALS AND METHODS: Thirty patients with esophageal carcinoma underwent MIE-SM between June 2014 and February 2016. The primary outcome was postoperative morbidity within 2 weeks postsurgery. The secondary outcome was surgical radicality, including the circumferential margins, and the number of lymph nodes dissected. RESULTS: The MIE-SM was completed in all patients within 367.6±68.7 minutes. The incidences of postoperative morbidities including pulmonary complications, anastomotic leakage, chylothorax, or recurrent nerve injury were 43.3%. CONCLUSION: The MIE-SM was utilized for the first time to reduce the disadvantage of purely Sweet and McKeown approach, with favorable efficacy in the mediastinal and laryngeal recurrent nerve lymph node eradication. Thus, MIE-SM might be a promising alternative approach in treating esophageal cancer in selected patients. Wolters Kluwer 2017-12 2017-11-08 /pmc/articles/PMC5732631/ /pubmed/29302639 http://dx.doi.org/10.1097/IJ9.0000000000000045 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License 4.0 (http://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.http://creativecommons.org/licenses/by/4.0/
spellingShingle Experimental Research
Wang, Wenxiang
Zhang, Baihua
Li, Xu
Wu, Jie
Wu, Zhining
Ding, Yan
Yang, Desong
Tang, Jinming
Su, Min
Ma, Junliang
You, Xianman
Liang, Jianping
Zhou, Yong
Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title_full Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title_fullStr Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title_full_unstemmed Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title_short Minimally invasive esophagectomy via Sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
title_sort minimally invasive esophagectomy via sweet approach in combination with cervical mediastinoscopy for esophageal squamous cell carcinoma: a case series
topic Experimental Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732631/
https://www.ncbi.nlm.nih.gov/pubmed/29302639
http://dx.doi.org/10.1097/IJ9.0000000000000045
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