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Long-term quality of life after hybrid robot-assisted and open Ivor Lewis esophagectomy for esophageal cancer in a single center: a comparative analysis.
Neuschütz, Kerstin J; Fourie, Lana; Germann, Nicolas; Pieters, Anouk; Däster, Silvio; Angehrn, Fiorenzo V; Klasen, Jennifer M; Müller-Stich, Beat P; Steinemann, Daniel C; Bolli, Martin.
Afiliación
  • Neuschütz KJ; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland. kerstin.neuschuetz@clarunis.ch.
  • Fourie L; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Germann N; University of Basel, Postfach 4001, Basel, Switzerland.
  • Pieters A; University of Basel, Postfach 4001, Basel, Switzerland.
  • Däster S; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Angehrn FV; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Klasen JM; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Müller-Stich BP; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Steinemann DC; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
  • Bolli M; Department of Visceral Surgery, Clarunis - University Digestive Health Care Center Basel, Postfach 4002, Basel, Switzerland.
Langenbecks Arch Surg ; 409(1): 118, 2024 Apr 11.
Article en En | MEDLINE | ID: mdl-38600407
ABSTRACT

PURPOSE:

Due to improved survival of esophageal cancer patients, long-term quality of life (QoL) is increasingly gaining importance. The aim of this study is to compare QoL outcomes between open Ivor Lewis esophagectomy (Open-E) and a hybrid approach including laparotomy and a robot-assisted thoracic phase (hRob-E). Additionally, a standard group of healthy individuals serves as reference.

METHODS:

With a median follow-up of 36 months after hRob-E (n = 28) and 40 months after Open-E (n = 43), patients' QoL was assessed using the European Organization for Research and Treatment of Cancer (EORTC) QoL Questionnaire Core 30 (QLQ-C30) and the EORTC Esophagus specific QoL questionnaire 18 (QLQ-OES18).

RESULTS:

Patients showed similar clinical-pathological characteristics, but hRob-E patients had significantly higher ASA scores at surgery (p < 0.001). Patients and healthy controls reported similar global health status and emotional and cognitive functions. However, physical functioning of Open-E patients was significantly reduced compared to healthy controls (p = 0.019). Operated patients reported reduced role and social functioning, fatigue, nausea and vomiting, dyspnea, and diarrhea. A trend towards a better pain score after hRob-E compared to Open-E emerged (p = 0.063). Regarding QLQ-OES18, hRob-E- and Open-E-treated patients similarly reported eating problems, reflux, and troubles swallowing saliva.

CONCLUSIONS:

The global health status is not impaired after esophagectomy. Despite higher ASA scores, QoL of hRob-E patients is similar to that of patients operated with Open-E. Moreover, patients after hRob-E appear to have a better score regarding physical functioning and a better pain profile than patients after Open-E, indicating a benefit of minimally invasive surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Robótica / Neoplasias Esofágicas Límite: Humans Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Robótica / Neoplasias Esofágicas Límite: Humans Idioma: En Revista: Langenbecks Arch Surg Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania