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- Title
Minimally invasive surgery for oesophageal cancer.
- Authors
Anderegg, Maarten C J; Gisbertz, Suzanne S; van Berge Henegouwen, Mark I
- Abstract
Worldwide an increasing part of oncologic oesophagectomies is performed in a minimally invasive way. Over the past decades multiple reports have addressed the perioperative outcomes and oncologic safety of minimally invasive oesophageal surgery. Although many of these (retrospective) case-control studies identified minimally invasive oesophagectomy as a safe alternative to open techniques, the clear benefit remained subject to debate. Recently, this controversy has partially resolved due to the results of the first randomized controlled trial that compared both techniques. In this trial short-term benefits of minimally invasive oesophagectomy were demonstrated in terms of lower incidence of pulmonary infections, shorter hospital stay and better postoperative quality of life. However, the current lack of long-term data on recurrence rate and overall survival precludes a comprehensive comparison of minimally invasive and open oesophagectomy. Proclaiming minimally invasive oesophagectomy as the standard of care for patients with resectable oesophageal cancer would therefore be a premature decision.
- Publication
Best practice & research. Clinical gastroenterology, 2014, Vol 28, Issue 1, p41
- ISSN
1532-1916
- Publication type
Journal Article
- DOI
10.1016/j.bpg.2013.11.002