Skip to main content
SpringerLink
Log in
Book cover

Minimally Invasive Thoracic and Cardiac Surgery pp 339–358Cite as

Minimally Invasive Esophagectomy

  • Chapter
  • First Online:

  • 2528 Accesses

Abstract

Radical surgery currently offers the most realistic chance of cure for cancer of the esophagus or gastroesophageal junction (GEJ) when spread beyond the most superficial epithelial layers, but not extending beyond locoregional lymph nodes [1, 2]. Nowadays experienced centers can consistently perform such an aggressive “conventional” surgery with mortality rates of 3–5% and consistently obtain overall 5-year survival rates of at least 35–40% [1–3]. Few other oncological operations however are as heavily influenced by experience than esophagectomy for cancer, and experienced centers not only achieve lower mortality rates but also much higher cure rates than low-volume centers [4, 5]. However, despite considerable improvements in outcome due to better cancer staging, patient selection, and surgical techniques during the last decade, overall and pulmonary complication rates have remain sufficiently high to encourage the search for alternative operative techniques that could potentially achieve similar cure rates but with less morbidity and probably a better post-operative quality of life.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Lerut T, Coosemans W, De Leyn P, Van Raemdonck D, Nafteux P, Moons J (2001) Optimizing treatment of carcinoma of the esophagus and gastroesophageal junction. Surg Clin N Am 10:863–884

    CAS  Google Scholar 

  2. Vrouenraets BC, van Lanschot JJB (2006) Extent of surgical resection for esophageal and gastroesophageal junction adenocarcinomas. Surg Oncol Clin N Am 15:781–791

    Article  PubMed  Google Scholar 

  3. Hulscher JBF, van Sandick JW, de Boer AG, Wijnhoven BPL, Tijssen JGP, Fockens P, Stalmeier PFM, Ten Kate FJW, van Dekken H, Obertop H, Tilanus HW, van Lanschot JJB (2002) Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus. N Engl J Med 347:1662–1669

    Article  PubMed  Google Scholar 

  4. Birkmeyer JD, Siewers AE, Finlayson EVA, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137

    Article  PubMed  Google Scholar 

  5. Birkmeyer JD, Sun Y, Wong SL, Stukel TA (2007) Hospital volume and late survival after cancer surgery. Ann Surg 245:777–783

    Article  PubMed  Google Scholar 

  6. Orringer MB (1984) Transhiatal esophagectomy without thoracotomy for carcinoma of the thoracic esophagus. Ann Surg 200:282–288

    Article  PubMed  CAS  Google Scholar 

  7. Perrachia A, Bonavina L, Segalin A, Ruol A, Fumagalli U (1994) Minimally invasive esophageal surgery. Esophagectomy without thoracotomy or transmediastinal endodissection for esophageal carcinoma. Dis Esophagus 7:36–38

    Google Scholar 

  8. Buess G, Kayser J, Manncke K, Walter DJ, Bessell JR, Becker HD (1997) Endoscopic microsurgical dissection of the esophagus. Int Surg 82:109–112

    PubMed  CAS  Google Scholar 

  9. Hulscher JBF, Tijssen JGP, Obertop H, van Lanschot JJB (2001) Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis. Ann Thorac Surg 72:306–313

    Article  PubMed  CAS  Google Scholar 

  10. Hulscher JBF, van Lanschot JJB (2005) Individualised surgical treatment of patients with an adenocarcinoma of the distal oesophagus or gastro-oesophageal junction. Dig Surg 22:130–134

    Article  PubMed  CAS  Google Scholar 

  11. Cushieri A, Shimi S, Banting S (1992) Endoscopic oesophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb 37:7–11

    Google Scholar 

  12. Mc Anena OJ, Rogers J, Williams NS (1994) Right thoracoscopically assisted oesophagectomy for cancer. Br J Surg 81:236–238

    Article  CAS  Google Scholar 

  13. Robertson GSM, Lloyd DM, Wicks ACB, Veitch PS (1996) No obvious advantages for thoracoscopic two-stage oesophagectomy. Br J Surg 83:675–678

    Article  PubMed  CAS  Google Scholar 

  14. Dexter SPL, Martin IG, McMahon MJ (1996) Radical thoracoscopic esophagectomy for cancer. Surg Endosc 10:147–151

    Article  PubMed  CAS  Google Scholar 

  15. Luketich JD, Alvelo-Rivera M, Buenaventura PO, Christie NA, McCaughan JS, Litle VR, Schauer PR, Close JM, Fernando HC (2003) Minimally invasive esophagectomy. Outcomes in 222 patients. Ann Surg 238:486–495

    PubMed  Google Scholar 

  16. Smithers BM, Gotley DC, Martin I, Thomas JM (2007) Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 245:232–240

    Article  PubMed  Google Scholar 

  17. Palanivelu C, Prakash A, Senthilkumar R, Senthilnathan P, Parthasarathi R, Rajan PS, Ventkatachlam S (2006) Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position-experience in 130 patients. J Am Coll Surg 203:7–16

    Article  PubMed  Google Scholar 

  18. Bernabe KQ, Bolton JS, Richardson WS (2005) Lap­aroscopic hand-assisted vs open transhiatal esopha­gectomy. A case-control study. Surg Endosc 19:334–337

    Article  PubMed  CAS  Google Scholar 

  19. Bresadola V, Terrosu G, Cojutti A, Benzoni E, Baracchini E, Bresadola F (2006) Laparoscopic versus open gastroplasty in esophagectomy for esophageal cancer: a comparative study. Surg Laparosc Endosc Percutan Tech 16:63–67

    Article  PubMed  Google Scholar 

  20. Nguyen NT, Follette DM, Wolfe BM, Schneider PD, Roberts P, Goodnight JE (2000) Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy. Arch Surg 135:920–925

    Article  PubMed  CAS  Google Scholar 

  21. Decker G, Coosemans W, De Leyn P, Decaluwé H, Nafteux P, Van Raemdonck D, Lerut T (2009) Minimally invasive esophagectomy for cancer. Eur J Cardiothorac Surg 35:13–21

    Article  PubMed  Google Scholar 

  22. Nagpal K, Ahmed K, Vats A, Yakoub D, James D, Ashrafian H, Darzi A, Moorthy K, Athanasiou T (2010) Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis. Surg Endosc 24:1621–1629

    Article  PubMed  Google Scholar 

  23. Verhage R, Hazebroek E, Boone J, Van Hillegersberg R (2009) Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature. Minerva Chir 64:135–146

    PubMed  CAS  Google Scholar 

  24. Biere S, Cuesta M, Van Der Peet D (2009) Minimally invasive versus open esophagectomy for cancer: a systematic review and meta-analysis. Minerva Chir 64:121–133

    PubMed  CAS  Google Scholar 

  25. Lerut TE, van Lanschot JJB (2004) Chronic symptoms after subtotal or partial oesophagectomy: diagnosis and treatment. Best Pract Res Clin Gastroenterol 18:901–915

    PubMed  CAS  Google Scholar 

  26. Rindani R, Martin CJ, Cox MR (1999) Transhiatal versus Ivor-Lewis oesophagectomy: is there a difference? Aust N Z J Surg 69:187–194

    Article  PubMed  CAS  Google Scholar 

  27. Atkins BZ, Fortes DL, Watkins KT (2007) Analysis of respiratory complications after minimally invasive esophagectomy: preliminary observation of persistent aspiration risk. Dysphagia 22:49–54

    Article  PubMed  Google Scholar 

  28. Lanuti M, de Delva PE, Maher A, Wright CD, Gaissert HA, Wain JC, Donahue DM, Mathisen DJ (2006) Feasibility and outcomes of an early extubation policy after esophagectomy. Ann Thorac Surg 82:2037–2041

    Article  PubMed  Google Scholar 

  29. Cerfolio RJ, Bryant AS, Bass CS, Alexander JR, Bartolucci AA (2004) Fast-tracking after Ivor Lewis esogastrectomy. Chest 126:1187–1194

    Article  PubMed  Google Scholar 

  30. Bonavina L, Bona D, Binyom PR, Peracchia A (2004) A laparoscopy-assisted approach to esophageal carcinoma. J Surg Res 117:52–57

    Article  PubMed  Google Scholar 

  31. Akaishi T, Kaneda I, Higuchi N, Kuriya Y, Kuramoto J, Toyoda T, Wakabayashi A (1996) Thoracoscopic en bloc total esophagectomy with radical mediastinal lymphadenectomy. J Thorac Cardiovasc Surg 112:1533–1541

    Article  PubMed  CAS  Google Scholar 

  32. Swanstrom LL (2002) Minimally invasive surgical approaches to esophageal cancer. J Gastrointest Surg 6:522–526

    Article  PubMed  Google Scholar 

  33. Law S, Fok M, Chu KM, Wong J (1997) Thoracoscopic esophagectomy for esophageal cancer. Surgery 122:8–14

    Article  PubMed  CAS  Google Scholar 

  34. Puntambekar S, Agarwal G, Joshi S, Rayate N, Sathe R, Patil A (2010) Thoracolaparoscopy in the lateral position for esophageal cancer: the experience of a single institution with 112 consecutive patients. Surg Endosc 24:2407–2414

    Article  PubMed  Google Scholar 

  35. Thompson AM, Rapson T, Gilbert FJ, Park KGM, The Scottish Audit of Gastric and Oesophageal Cancer (2007) Hospital volume does not influence long-term survival of patients undergoing surgery for oesophageal or gastric cancer. Br J Surg 94:578–584

    Article  PubMed  CAS  Google Scholar 

  36. Martin DJ, Bessell JR, Chew A, Watson DI (2005) Thoracoscopic and laparoscopic esophagectomy. Initial experiences and outcome. Surg Endosc 19:1597–1601

    Article  PubMed  CAS  Google Scholar 

  37. Yamamoto S, Kawahara K, Maekawa T, Shiraishi T, Shirakusa T (2005) Minimally invasive esophagectomy for stage I and II esophageal cancer. Ann Thorac Surg 80:2070–2075

    Article  PubMed  Google Scholar 

  38. Leibman S, Smithers BM, Gotley DC, Martin I, Thomas J (2006) Minimally invasive esophagectomy. Initial experiences and outcome. Surg Endosc 20:428–433

    Article  PubMed  CAS  Google Scholar 

  39. Ell C, May A, Pech O, Gossner L, Guenter E, Behrens A, Nachbar L, Huijsmans J, Vieth M, Stolte M (2007) Curative endoscopic resection of early esophageal adenocarcinomas (Barrett’s cancer). Gastrointest Endosc 65:3–10

    Article  PubMed  Google Scholar 

  40. Peyre CG, DeMeester SR, Rizzetto C, Bansal N, Tang AL, Ayazi S, Leers JM, Lipham JC, Hagen JA, DeMeester TR (2007) Vagal sparing esophagectomy. The ideal operation for intra-mucosal adenocarcinoma and Barrett with high-grade dysplasia. Ann Surg 246:665–674

    Article  PubMed  Google Scholar 

  41. Wijnhoven BPL, Tran KTC, Esterman A, Watson DI, Tilanus HW (2007) An evaluation of prognostic factors and tumor staging of resected carcinoma of the esophagus. Ann Surg 245:717–725

    Article  PubMed  Google Scholar 

  42. Lagergren P, Avery K, Hughes R, Barham C, Alderson D, Falk S (2007) Health-related quality of life among patients cured by surgery for esophageal cancer. Cancer 110:686–693

    Article  PubMed  Google Scholar 

  43. Zieren H, Jacobi C, Zieren J, Müller J (1996) Quality of life following resection of oesophageal carcinoma. Br J Surg 83:1772–1775

    Article  PubMed  CAS  Google Scholar 

  44. Pennathur A, Awais O, Luketich J (2010) Minimally invasive esophagectomy for Barrett’s with high-grade dysplasia and early adenocarcinoma of the esophagus. J Gastrointest Surg 14:948–950

    Article  PubMed  Google Scholar 

  45. Parameswaran R, Blazeby J, Hughes R, Mitchell K, Berrisford R, Wajed S (2010) Health-related quality of life after minimally invasive oesophagectomy. Br J Surg 97:525–531

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Thoracic Surgery, UZ Gasthuisberg, Herestraat 49, Leuven, 3000, Belgium

    Philippe Nafteux M.D., Georges Decker M.D. & Toni E. M. R. Lerut M.D., Ph.D.

Authors
  1. Philippe Nafteux M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Georges Decker M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Toni E. M. R. Lerut M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Philippe Nafteux M.D. .

Editor information

Editors and Affiliations

  1. Klinik Hirslanden, Thoraxzentrum Zürich, Witellikerstr. 40, Zürich, 8008, Switzerland

    Rolf Gilbert Carl Inderbitzi

  2. , Division of General Thoracic Surgery, University Hospital Berne
, Freiburgstr. 2010, Berne, 3010, Switzerland

    Ralph Alexander Schmid

  3. , Department of Cardio-Thoracic Surgery, University of Pisa, Via Paradisa 2, Pisa, 56100, Italy

    Franca M. A. Melfi

  4. St. Mary's Hospital, Department of Cardio-Thoracic Surgery, Imperial College Healthcare NHS Trust, Praed Street, LONDON, W2 1NY, United Kingdom

    Roberto Pasquale Casula

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Nafteux, P., Decker, G., Lerut, T.E.M.R. (2012). Minimally Invasive Esophagectomy. In: Inderbitzi, R., Schmid, R., Melfi, F., Casula, R. (eds) Minimally Invasive Thoracic and Cardiac Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11861-6_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-11861-6_34

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11860-9

  • Online ISBN: 978-3-642-11861-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation