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Total or Hybrid Minimally Invasive Esophagectomy?

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Minimally Invasive Surgery for Upper Abdominal Cancer

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Abstract

Oesophagectomy remains associated with high rates of morbidity and mortality. Minimally invasive techniques have been introduced in an attempt to reduce postoperative complications and enhance patient recovery. Whether minimally invasive techniques decrease morbidity whilst maintaining the quality of the oncological resection remains a topic of debate. Assessments of the current role of minimally invasive oesophagectomy (MIO) have largely been made based on retrospective comparative studies and many single institution series, with only two randomized trials reported to date. Globally, MIO is feasible and safe, overall it reduces especially respiratory related morbidity, postoperative mortality, blood loss and length of hospital stay and shortens time in high dependency care. Lymph node yields and quality of the tumoral resection appear to be similar to comparable oncological outcomes. MIO will be a major component of the future oesophageal surgeons’ armamentarium, but should continue to be carefully assessed.

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Author information

Authors and Affiliations

  1. Department of Digestive and Oncological Surgery, Claude Huriez University Hospital, Univ. Lille, F-59000, Lille, France

    Christophe Mariette M.D., Ph.D.

  2. UMR-S 1172, JPARC—Centre de Recherche Jean-Pierre AUBERT Neurosciences et Cancer, Univ. Lille, F-59000, Lille, France

    Christophe Mariette M.D., Ph.D.

  3. Inserm, UMR-S 1172, F-59000, Lille, France

    Christophe Mariette M.D., Ph.D.

  4. SIRIC ONCOLille, Lille, France

    Christophe Mariette M.D., Ph.D.

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  1. Christophe Mariette M.D., Ph.D.
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Correspondence to Christophe Mariette M.D., Ph.D. .

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Editors and Affiliations

  1. Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands

    Miguel A. Cuesta

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Mariette, C. (2017). Total or Hybrid Minimally Invasive Esophagectomy?. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_8

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  • DOI: https://doi.org/10.1007/978-3-319-54301-7_8

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-54301-7

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