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Contemporary Role of Open Left Thoracoabdominal Approach in Esophageal Malignancy Treatment.
Dellaportas, Dionysios; Margaris, Ioannis; Latsonas, Panagiotis; Pikouli, Anastasia; Vlachos, Iakovos; Papakonstantinou, Dimitrios; Pararas, Nikolaos; Nastos, Constantinos; Myoteri, Despoina; Pikoulis, Emmanuel.
Afiliación
  • Dellaportas D; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Margaris I; 4th Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Latsonas P; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Pikouli A; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Vlachos I; Department of Pathology, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Papakonstantinou D; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Pararas N; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Nastos C; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Myoteri D; Department of Pathology, Aretaieion University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
  • Pikoulis E; 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Cureus ; 16(6): e62922, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39040781
ABSTRACT

INTRODUCTION:

Despite the widespread use of minimally invasive techniques, open left thoracoabdominal esophagectomy (LTE) can offer excellent visualization and adaptability. The current study aimed to present and evaluate the outcomes related to an open LTE in esophageal malignancy treatment.

METHODS:

A retrospective cohort analysis of data collected from two institutions was performed, including patients with distal esophageal or junctional tumors who underwent open LTE between November 2018 and December 2023.

RESULTS:

Twenty-two patients were included (16 males; mean age 62.8 years). Postoperative complications occurred in eight patients (36%), with pulmonary complications being the most prevalent (seven patients; 32%). One patient experienced a clinical anastomotic leak. No reoperations or escalation to a higher level of care were required. In-hospital and 30-day mortality were zero. Tumor cells were found at the surgical margins in six patients (27%). The mean lymph node yield was 27. During the follow-up period, there were nine deaths and 11 cases of disease recurrence. Isolated locoregional recurrence was seen in five patients (23%). The one-year and two-year overall survival rates were 79% and 47%, respectively.

CONCLUSION:

In selected cases, open LTE remains a valid and safe operation with acceptable morbidity and oncological efficacy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos