Page 12 - World Journal of Laparoscopic Surgery

Laparoscopic vs Open Transhiatal Esophagectomy
14
In an review article by Herbella et al., different types of MIE proposal number 940066 and Ms. S Beigoli and Ms. M Hassanpour
and conventional open surgery were compared and finally they for their kind assistance in preparing the paper.
concluded that MIE has less mortality and morbidity with the
same oncologic results, but in our study mortality was higher and references
morbidity was lower in MIE.
15
In a study by Khithani et al., no mortality was observed after 1. Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally
invasive esophagectomy: review of over 1000 patients. Ann Surg
performing MIE using minilaparotomy. Interestingly, the major 2012;256(1):95–103. DOI: 10.1097/SLA.0b013e3182590603.
morbidity was pneumonia in 8 (24%) patients compared with 2. Meng F, Li Y, Ma H, et al. Comparison of outcomes of open and
16
0 in our study. But they had no cervical leak. A study by Lee et al. minimally invasive esophagectomy in 183 patients with cancer.
demonstrated that the only difference between MIE and open J Thorac Dis 2014;6(9):1218–1224. DOI: 10.3978/j.issn.2072-
surgery is the abdominal operative time (90 ± 27.6 minutes in 1439.2014.07.20.
the laparoscopic group vs 162 ± 97.3 minutes in the open group; 3. Biere SS, Maas KW, Bonavina L, et al. Traditional invasive vs. minimally
p < 0.001), which is consistent with our finding (76 ± 15 minutes vs invasive esophagectomy: a multi-center, randomized trial (TIME-trial).
BMC Surg 2011;11:2. DOI: 10.1186/1471-2482-11-2.
125 ± 25 minutes, respectively, in laparoscopic and open group; 4. Puntambekar S, Kenawadekar R, Pandit A, et al. Minimally invasive
p < 0.05). They had a patient with pneumonia. Their mortality was esophagectomy in the elderly. Indian J Surg Oncol 2013;4(4):326–331.
3 in MIE group and 2 in the open group. Their results were better DOI: 10.1007/s13193-013-0263-6.
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than ours in terms of mortality. In another study by Gao et al., they 5. Santin BJ, Price P. Laparoscopic transhiatal esophagectomy at a low-
compared the MIE (thoracoscopy, minilaparotomy, and cervical volume center. JSLS 2011;15(1):41–46. DOI: 10.4293/108680811X1302
anastomosis) to open surgery. The operative time was higher in 2985131138.
MIE group. They observed more pulmonary complications and 6. Smithers BM, Gotley DC, Martin I, et al. Comparison of the outcomes
anastomosis leakage in MIE group but mortality did not differ between open and minimally invasive esophagectomy. Ann Surg
2007;245(2):232–240. DOI: 10.1097/01.sla.0000225093.58071.c6.
statistically in two groups. 7. Avery KN, Metcalfe C, Berrisford R, et al. The feasibility of a randomized
controlled trial of esophagectomy for esophageal cancer—the
conclusIon ROMIO (Randomized Oesophagectomy: Minimally Invasive or Open)
study: protocol for a randomized controlled trial. Trials 2014;15:200.
In summary, previous studies demonstrated heterogeneous DOI: 10.1186/1745-6215-15-200.
results, which may result from different patient selections, 8. Beigoli S, Sharifi Rad A, Askari A, et al. Isothermal titration calorimetry
different techniques, and study designs. Overall, we can conclude and stopped flow circular dichroism investigations of the interaction
that there are reports on MIE with more patients undergoing between lomefloxacin and human serum albumin in the presence
unique techniques and involving better clarified patient of amino acids. J Biomol Struct Dyn 2019;37(9):2265–2282. DOI:
selection to prevent mortality, morbidity, and heterogeneity 10.1080/07391102.2018.1491421.
of results. 9. Briez N, Piessen G, Bonnetain F, et al. Open versus laparoscopically-
assisted oesophagectomy for cancer: a multicentre randomised
Preoperative location of tumor should be defined by controlled phase III trial—the MIRO trial. BMC Cancer 2011;11:310.
barium swallow and computed tomography scan. Endoscopic DOI: 10.1186/1471-2407-11-310.
ultrasonography for clarifying the T stage of tumor is advocated for 10. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally
all patients. We also advocate using total laparoscopic transhiatal invasive esophagectomy: outcomes in 222 patients. Ann
esophagectomy in tumors distal to carina level and early stage Surg 2003;238(4):486–494; discussion 94–95. DOI: 10.1097/01.
tumors. Preoperative chemoradiotherapy may decrease the bulk sla.0000089858.40725.68.
of tumor, thus optimizing the handling of tumor in the narrow 11. Wallner G, Zgodzinski W, Masiak-Segit W, et al. Minimally invasive
space of mediastinum though it may obscure the dissection surgery for esophageal cancer—benefits and controversies.
Kardiochir Torakochirurgia Pol 2014;11(2):151–155. DOI: 10.5114/
planes. kitp.2014.43842.
12. Maas KW, Biere SS, Scheepers JJ, et al. Laparoscopic versus

coMplIAnce wIth ethIcAl stAndArds open transhiatal esophagectomy for distal and junction cancer.
Rev Esp Enferm Dig 2012;104(4):197–202. DOI: 10.4321/S1130-
Informed Consent 01082012000400005.

Informed consent was obtained from all individual participants 13. Rodham P, Batty JA, McElnay PJ, et al. Does minimally invasive
included in the study. oesophagectomy provide a benefit in hospital length of stay when
compared with open oesophagectomy? Interact Cardiovasc Thorac
Surg 2016;22(3):360–367. DOI: 10.1093/icvts/ivv339.
Ethical Approval 14. Herbella FA, Patti MG. Minimally invasive esophagectomy. World J
All procedures performed in studies involving human part- Gastroenterol 2010;16(30):3811–3815. DOI: 10.3748/wjg.v16.i30.3811.
icipants were in accordance with the ethical standards of 15. Khithani A, Jay J, Galanopoulos C, et al. Zero leaks with minimally
ethics Committee of Mashhad University of Medical Sciences, invasive esophagectomy: a team-based approach. JSLS
Mashhad, Iran. 2009;13(4):542–549. DOI: 10.4293/108680809X12589998404326.
16. Lee JW, Sung SW, Park JK, et al. Laparoscopic gastric tube formation
with pyloromyotomy for reconstruction in patients with esophageal
AcknowledgMents cancer. Ann Surg Treat Res 2015;89(3):17–23. DOI: 10.4174/
astr.2015.89.3.117.
The results described in this paper formed part of a thesis submitted 17. Gao Y, Wang Y, Chen L, et al. Comparison of open three-field
by the third author for a postgraduate degree in surgery. The and minimally-invasive esophagectomy for esophageal cancer.
authors hereby wish to thank the Research Department of Mashhad Interact Cardiovasc Thorac Surg 2011;12(3):366–369. DOI: 10.1510/
University of Medical Sciences for its support and approval of the icvts.2010.258632.

58 World Journal of Laparoscopic Surgery, Volume 12 Issue 2 (May–August 2019)