Minimally Invasive Versus Open Ivor-Lewis Esophagectomy for Esophageal Cancer or Cancer of the Gastroesophageal Junction: Comparison of Postoperative Outcomes and Long-term Survival Using Propensity Score Matching Analysis

2021 ◽  
Vol 41 (7) ◽  
pp. 3499-3510
Author(s):  
SEBASTIAN KNITTER ◽  
ANDREAS ANDREOU ◽  
TOBIAS HOFMANN ◽  
SASCHA CHOPRA ◽  
CHRISTIAN DENECKE ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Propensity Score ◽  
Minimally Invasive ◽  
Propensity Score Matching ◽  
Gastroesophageal Junction ◽  
Term Survival ◽  
Ivor Lewis ◽  
Propensity Score Matching Analysis ◽  
Ivor Lewis Esophagectomy

Initial Results of Minimally Invasive Ivor Lewis Esophagectomy after Induction Chemoradiation (50.4 Gy) for Esophageal Cancer

2012 ◽  
Vol 7 (6) ◽  
pp. 421-428 ◽  
Author(s):  
Alan A. Thomay ◽  
Justin A. Snyder ◽  
Donna M. Edmondson ◽  
Walter J. Scott
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Gastroesophageal Junction ◽  
Neoadjuvant Treatment ◽  
Treatment Modalities ◽  
Total Body Mass ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Lymph Node Retrieval ◽  
Historical Series

Objective Esophageal cancer patients receiving induction chemoradiation to 41 Gy randomized to minimally invasive (MIS) esophagectomy have fewer postoperative pulmonary complications compared with those who underwent open procedures. We evaluated the feasibility of MIS Ivor Lewis esophagectomy in patients treated with induction chemoradiation to 50.4 Gy. Methods We retrospectively analyzed clinical data from 30 consecutive patients undergoing MIS Ivor Lewis esophagectomy after induction chemoradiation to a mean dose of 50.4 Gy by a single surgeon at a tertiary institution since 2010. Data collected included patient demographics, preoperative risk factors, neoadjuvant treatment modalities, histology, staging, operative factors, and perioperative complications. Results The mean age of the patients was 61 ± 9.5 years, and 87% were men. The dominant histology was adenocarcinoma (90%), with most tumors (70%) located at the gastroesophageal junction. A total of 22 patients (73%) presented with dysphagia, but only 15 (50%) had associated weight loss (mean 12.2% total body mass). All patients had R0 resections; mean number of resected lymph nodes was 27.1 ± 11.4. Mean operating room time was 535 ± 120 minutes, with the last 10 operations 2 hours shorter than the preceding 20. Four patients (13.3%) had major complications. including 2 (6.7%) anastomotic leaks. There was no operative mortality. Conclusions Minimally invasive Ivor Lewis esophagectomy after chemoradiation to 50.4 Gy can be performed with decreased morbidity and mortality compared with historical series of open Ivor Lewis esophagectomy. Oncologic outcomes were acceptable as demonstrated by lymph node retrieval and complete resection rates. Operative time decreased significantly after 20 cases.

Hybrid minimally invasive Ivor Lewis esophagectomy after neoadjuvant chemoradiation yields excellent long-term survival outcomes with minimal morbidity

2016 ◽  
Vol 114 (7) ◽  
pp. 838-847 ◽  
Author(s):  
Gavitt A. Woodard ◽  
Jane C. Crockard ◽  
Carolyn Clary-Macy ◽  
Clara T. Zoon-Besselink ◽  
Kirk Jones ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Neoadjuvant Chemoradiation ◽  
Survival Outcomes ◽  
Term Survival ◽  
Ivor Lewis ◽  
Long Term Survival ◽  
Minimal Morbidity ◽  
Ivor Lewis Esophagectomy
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