Extensive mediastinal lymphadenectomy in thoracoscopy asisted three-fielad esopahagectomy


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Işcan A. Y. , Özgür I., Sormaz I. C. , Tunca F., Şenyürek Y., Terzioğlu T.

16. Annual Meeting of the European Society of Surgery, İstanbul, Turkey, 22 - 24 November 2012, vol.44, pp.19

  • Publication Type: Conference Paper / Full Text
  • Volume: 44
  • Doi Number: 10.1007/s10353-012-0163-y
  • City: İstanbul
  • Country: Turkey
  • Page Numbers: pp.19

Abstract

Background&Aims: Technical feasibility in thoracoscopy have made it possible to perform esophagectomy with extensive lymphadenectomy (upper mediastinal, paratracheal, paraesophageal and subcarinal). Aim of this study was to assess our outcomes of extensive mediastinal lymphadenectomy in esophageal cancer. Methods: Thoracoscopy assisted three-field esophagectomy was performed in 27 patients from January 2008 to February 2012. Procedure was divided in three stages. Thorocoscopic esophageal mobilization and mediastinal lymph node dissection was followed by laparotomy, celiac lymph node dissection and creation of gastric tube. Finally cervical lymph node dissection and hypopharyngogastrostomy was generated via cervical incision. Results: Median age was 54.9 (43–64) of 17 (63 %) men and 10 (37 %) women. The average operation time was 214±18.6 min and the average thorocoscopy time was 88±14 min. The average number of all retrieved lymph nodes was 36±14.2 and mediastinal lymph nodes average was 28.2±12.8. No respiratory complication was observed, hoarseness occurred in three (11 %) patients and two (7 %) patients have anastomotic stenosis. Mean follow-up time was 28 month and median survival was 22 month. Conclusion: Minimal invasive surgery in esophagectomy have demonstrated feasibility of mediastinal lymph node dissection without increased complications.