Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study

Joint Authors

Rolff, Hans C.
Ambrus, Rikard B.
Belmouhand, Mohammed
Achiam, Michael P.
Wegmann, Marianne
Siemsen, Mette
Kofoed, Steen C.
Svendsen, Lars B.

Source

Minimally Invasive Surgery

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-12-06

Country of Publication

Egypt

No. of Pages

6

Main Subjects

Medicine

Abstract EN

Aim.

To compare the peri- and postoperative data between a hybrid minimally invasive esophagectomy (HMIE) and the conventional Ivor Lewis esophagectomy.

Methods.

Retrospective comparison of perioperative characteristics, postoperative complications, and survival between HMIE and Ivor Lewis esophagectomy.

Results.

216 patients were included, with 160 procedures performed with the conventional and 56 with the HMIE approach.

Lower perioperative blood loss was found in the HMIE group (600 ml versus 200 ml, p<0.001).

Also, a higher median number of lymph nodes were harvested in the HMIE group (median 28) than in the conventional group (median 23) (p=0.002).

The median length of stay was longer in the conventional group compared to the HMIE group (11.5 days versus 10.0 days, p=0.03).

Patients in the HMIE group experienced fewer grade 2 or higher complications than the conventional group (39% versus 57%, p=0.03).

The rate of all pulmonary (51% versus 43%, p=0.32) and severe pulmonary complications (38% versus 18%, p = 0.23) was not statistically different between the groups.

Conclusions.

The HMIE was associated with lower intraoperative blood loss, a higher lymph node harvest, and a shorter hospital stay.

However, the inborn limitations with the retrospective design stress a need for prospective randomized studies.

Registration number is DRKS00013023.

American Psychological Association (APA)

Rolff, Hans C.& Ambrus, Rikard B.& Belmouhand, Mohammed& Achiam, Michael P.& Wegmann, Marianne& Siemsen, Mette…[et al.]. 2017. Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study. Minimally Invasive Surgery،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1188866

Modern Language Association (MLA)

Rolff, Hans C.…[et al.]. Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study. Minimally Invasive Surgery No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1188866

American Medical Association (AMA)

Rolff, Hans C.& Ambrus, Rikard B.& Belmouhand, Mohammed& Achiam, Michael P.& Wegmann, Marianne& Siemsen, Mette…[et al.]. Robot-Assisted Hybrid Esophagectomy Is Associated with a Shorter Length of Stay Compared to Conventional Transthoracic Esophagectomy: A Retrospective Study. Minimally Invasive Surgery. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1188866

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1188866