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European Science Review, Issue 1-2/2017

Minimally invasive esophagectomy in esophageal cancer: treatment options

DOI: https://doi.org/10.29013/ESR-17-1.2-116-120

Pages: 116 - 120

Authors: Rasulov A. E., Krotov N. F., Sabirov D. R.

Abstract: Purpose. Defining the role of minimally invasive surgery in the surgical treatment of esophageal cancer. Materials and Methods: Retrospective analyses of 285 simultaneous surgical interventions were carried out. Men — 129 (45.2%), women — 156 (54.8%), mean age was — 54.6 years. Results and discussion: 253 (89%) patients were operated with stage II and III of disease. Surgery performed by method of McKeown — 28 (9,8%), by Lewis- 48 (16.8%), Trans hiatal Esophagectomy — 38 (13.3%) and Video-assisted Trans hiatal Esophagectomy — 171 (60%) on patients. Time spent on intervention in the operation Lewis‑346,5 ± 42,8min., at McKeown‑390 ± 32.5 min., at Video-assisted Transhiatal Esophagectomy 329,1 ± 28,5 min. Mortality after surgery Lewis‑8 (16.6%) with Transhiatal Esophagectomy and Video-assisted Transhiatal Esophagectomy –1 (0.6%). 5‑year survival rate after surgery by McKeown‑21,5%, by Lewis‑16,2%, Transhiatal Esophagectomy + Video-assisted Transhiatal Esophagectomy — 10.1%.

Keywords: esophageal cancer, surgery, minimally invasive intervention, the survival rate

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