Abstract
Technical advancements and development of endoscopic equipment in thoracoscopic surgery have resulted in increase in the popularity of minimally invasive esophagectomy (MIE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and the outcomes are comparable to those of conventional open esophagectomy (OE). Extended mediastinal lymphadenectomy including the upper mediastinal nodes along the bilateral recurrent laryngeal nerves (RLNs) is considered as a standard surgery for thoracic esophageal squamous cell carcinoma in Japan. Nowadays, precise upper mediastinal lymphadenectomy along the bilateral RLNs is also feasible, even with thoracoscopic approaches. However, there have been a limited number of prospective multicenter trials to verify the feasibility and benefits of MIE to date. Comparison of the left lateral decubitus position with the prone position also should be assessed as appropriate positioning for MIE, with regard to precise upper mediastinal lymphadenectomy along the bilateral RLNs for esophageal squamous cell carcinoma. Furthermore, the oncological benefit to patients undergoing MIE has not been scientifically proven because there have been no randomized controlled trials to verify the equivalency in long-term survival of patients undergoing MIE compared with that of patients undergoing OE. If future prospective studies indicate oncological benefits, MIE could truly become the standard care for patients with esophageal cancer.
Although several studies have emphasized that robot-assisted thoracoscopic esophagectomy is safe and feasible, the superiority of robot-assisted thoracoscopic esophagectomy compared with conventional thoracoscopic esophagectomy should be carefully evaluated because robot-assisted thoracoscopic esophagectomy is not comparable with conventional MIE in terms of the cost of a surgery.
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References
Ando N, Ozawa S, Kitagawa Y et al (2000) Improvement in the results of surgical treatment of advanced squamous esophageal carcinoma during 15 consecutive years. Ann Surg 232:225–232
Akiyama H, Tsurumaru M, Udagawa H et al (1994) Radical lymph node dissection for cancer of the thoracic esophagus. Ann Surg 220:364–372
Nishihira T, Hirayama K, Mori S (1998) A prospective randomized trial of extended cervical and superior mediastinal lymphadenectomy for carcinoma of the thoracic esophagus. Am J Surg 175:47–51
Isono K, Sato H, Nakayama K (1991) Results of a nationwide study on the three-field lymph node dissection of esophageal cancer. Oncology 48:411–420
Takeuchi H, Kawakubo H, Kitagawa Y (2013) Current status of minimally invasive esophagectomy for patients with esophageal cancer. Gen Thorac Cardiovasc Surg 46(4):241–248
Cuschieri A, Shimi S, Banting S (1992) Endoscopic oesophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb 37:7–11
Kawahara K, Maekawa T, Okabayashi K et al (1999) Video-assisted thoracoscopic esophagectomy for esophageal cancer. Surg Endosc 13:218–223
Luketich JD, Schauer PR, Christie NA et al (2000) Minimally invasive esophagectomy. Ann Thorac Surg 70:906–911
Nguyen NT, Follette DM, Lemoine PH et al (2001) Minimally invasive Ivor Lewis esophagectomy. Ann Thorac Surg 72:593–596
Akaishi T, Kaneda I, Higuchi N et al (1996) Thoracoscopic en bloc total esophagectomy with radical mediastinal lymphadenectomy. J Thorac Cardiovasc Surg 112:1533–1540
Biere SS, van Berge Henegouwen MI, Maas KW et al (2012) Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet 379:1887–1892
Takeuchi H, Miyata H, Gotoh M et al (2014) A risk model for esophagectomy using data of 5354 patients included in a Japanese nation-wide web-based database. Ann Surg, in press
Shichinose T, Hirano S, Kondo S (2008) Video-assisted esophagectomy for esophageal cancer. Surg Today 38:206–213
Osugi H, Takemura M, Higashino M, Takada N, Lee S, Kinoshita H (2003) A comparison of video-assisted thoracoscopic oesophagectomy and radical lymph node dissection for squamous cell cancer of the oesophagus with open operation. Br J Surg 90:108–113
Sadanaga N, Kuwano H, Watanabe M, Ikebe M, Mori M, Maekawa S et al (1994) Laparoscopy-assisted surgery: a new technique for transhiatal esophageal dissection. Am J Surg 168:355–357
Nguyen TN, Hinojosa MW, Smith BR, Chang KJ, Gray J, Hoyt D (2008) Minimally invasive esophagectomy. Lessons learned from 104 operations. Ann Surg 248:1081–1091
Kernstein KH, DeArmond DT, Karimi M, Van Natta TL, Campos JC, Yoder MR et al (2004) The robotic, 2-stage, 3-field esophagolymphadenectomy. J Thorac Cardiovasc Surg 127:1847–1849
Suda K, Ishida Y, Kawamura Y, Inaba K, Kanaya S, Teramukai S et al (2012) Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position: technical report and short-term outcomes. World J Surg 36:1608–1616
Liu HP, Chang CH, Lin PJ, Chang JP (1995) Video-assisted endoscopic esophagectomy with stapled intrathoracic esophagogastric anastomosis. World J Surg 19:745–747
Palanivelu C, Prakash A, Senthilkumar R, Senthilnathan P, Parthasarahi R, Rajan PS et al (2006) Minimally invasive esophagectomy: thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in prone position—experience of 130 patients. J Am Coll Surg 203:7–16
Fabian T, McKelvey AA, Kent MS, Federico JA (2007) Prone thoracoscopic esophageal mobilization for minimally invasive esophagectomy. Surg Endosc 21:1667–1670
Watanabe M, Baba Y, Nagai Y, Baba H (2013) Minimally invasive esophagectomy for cancer: an updated review. Surg Today 43:237–244
Ozawa S, Ito E, Kazuno A et al (2013) Thoracoscopic esophagectomy while in a prone position for esophageal cancer: a preceding anterior approach method. Surg Endosc 17:40–47
Jarral OA, Purkayastha S, Athanasiou T, Darzi A, Hanna GB, Zacharakis E (2012) Thoracoscopic esophagectomy in the prone position. Surg Endosc 26:2095–2103
Fabian T, Martin J, Katigbak M, McKelvey AA, Federico JA (2008) Thoracoscopic esophageal mobilization during minimally invasive esophagectomy: a head-to head comparison of prone versus decubitus positions. Surg Endosc 22:2485–2491
Takeuchi H, Oyama T, Saikawa Y, Kitagawa Y (2012) Novel thoracoscopic intrathoracic esophagogastric anastomosis technique for patients with esophageal cancer. J Laparoendosc Adv Surg Tech A 22:88–92
Kaburagi T, Takeuchi H, Kawakubo H et al (2014) Clinical utility of a novel hybrid position combining the left lateral decubitus and prone positions during thoracoscopic esophagectomy. World J Surg 38(2):410–418
Takeuchi H, Fujii H, Ando N et al (2009) Validation study of radio-guided sentinel lymph node navigation in esophageal cancer. Ann Surg 249:757–763
Noshiro H, Iwasaki H, Kobayashi K, Uchiyama A, Miyasaka Y, Masatsugu T et al (2010) Lymphadenectomy along the left recurrent laryngeal nerve by a minimally invasive esophagectomy in the prone position for thoracic esophageal cancer. Surg Endosc 24:2965–2973
Bumm R, Holscher AH, Feussner H, Tachibana M, Bartels H, Siewert JR (1993) Endodissection of the thoracic esophagus: technique and clinical results in transhiatal esophagectomy. Ann Surg 218:97–104
Bernabe KQ, Bolton JS, Richardson WS (2005) Laparoscopic hand-assisted versus open transhiatal esophagectomy: a case–control study. Surg Endosc 19:334–337
Avital S, Zundel N, Szomstein S, Rosenthal R (2005) Laparoscopic transhiatal esophagectomy for esophageal cancer. Am J Surg 190:69–74
Tangoku A, Yoshino S, Abe T, Hayashi H, Satou T, Ueno T et al (2004) Mediastinoscope-assisted transhiatal esophagectomy for esophageal cancer. Surg Endosc 18:383–389
Biere SS, Maas KW, Cuesta MA, van der Peet DL (2011) Cervical or thoracic anastomosis after esophagectomy for cancer: a systematic review and meta-analysis. Dig Surg 28:29–35
Shiraishi T, Kawahara K, Shirakusa T, Yamamoto S, Maekawa T (2006) Risk analysis in resection of thoracic esophageal cancer in the era of endoscopic surgery. Ann Thorac Surg 81:1083–1089
Gao Y, Wang Y, Chen L, Zhao Y (2011) Comparison of open three-field and minimally-invasive esophagectomy for esophageal cancer. Intract Cardiovasc Thorac Surg 12:366–369
Kinjo Y, Kurita N, Nakamura F, Okabe H, Tanaka E, Kataoka Y et al (2012) Effectiveness of combined thoracoscopic-laparoscopic esophagectomy: comparison of postoperative complication and midterm oncological outcomes in patients with esophageal cancer. Surg Endosc 26:381–390
Dantoc M, Cox MR, Eslick GD (2012) Evidence to support the use of minimally invasive esophagectomy for esophageal cancer: a meta-analysis. Arch Surg 147:768–776
Mamidanna R, Bottle A, Aylin P et al (2012) Short-term outcomes following open versus minimally invasive esophagectomy for cancer in England. Ann Surg 255:197–203
Biere SSA, Cuesta MA, Van Del Peet DL (2009) Minimally invasive versus open esophagectomy for cancer: a systematic review and meta-analysis. Minerva Chir 64:121–133
Sgourakis G, Gockel I, Radtke A, Musholt TJ, Timm S, Rink A et al (2010) Minimally invasive versus open esophagectomy: metaanalysis of outcomes. Dig Dis Sci 55:3031–3040
Nagpal K, Ahmed K, Vats A, Yakoub D, James D, Ashrafian H et al (2010) Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis. Surg Endosc 24:1621–1629
Smithers BM, Gotley DC, Martin I et al (2007) Comparison of the outcomes between open and minimally invasive esophagectomy. Ann Surg 245:232–240
Luketich J, Pennathur A, Catalano PJ, Swanson SJ, de Hoyos AL, Maddaus MA et al (2009) Results of a phase II multicenter study of minimally invasive esophagectomy (Eastern Cooperative Oncology Group Study E2202). Proceeding of ASCO Annual Meeting 2009, Abstract No. 4516. J Clin Oncol 27:15s (suppl; abstr 4516)
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Takeuchi, H. (2015). Surgery: Minimally Invasive Esophagectomy. In: Ando, N. (eds) Esophageal Squamous Cell Carcinoma. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54977-2_9
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DOI: https://doi.org/10.1007/978-4-431-54977-2_9
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