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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cardiothorac+Surg
2020 ; 28
(1
): 25
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gab.com Text
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Trans-thoracic versus trans-hiatal resection for oesophageal carcinoma: a
retrospective comparative study of a single-centre case series
#MMPMID38624644
Baram A
; Sherzad H
Cardiothorac Surg
2020[]; 28
(1
): 25
PMID38624644
show ga
BACKGROUND: Oesophageal carcinoma (EC) is the eighth most common cancer. Surgery
is the cornerstone of management for resectable EC. Trans-thoracic oesophagectomy
(TTE) and trans-hiatal oesophagectomy (THE) are the two most widely practised
procedures. Most of the related controversies are centred on both early and late
post-operative complications and mortality (in terms of overall survival and
cancer-free survival).This was a single-centre, retrospective, comparative study
analysing the outcomes of two EC resection methods. All 87 patients underwent
surgery by the same surgical team over 13?years. Consequently, 87
oesophagectomies with curative intent were performed and divided into the TTE
group (group A = 47) and the THE group (group B = 40). RESULTS: The mean patient
age was 65.60 ± 6.30?years in the TTE group and 63.48 ± 9.34?years in the THE
group. No significant difference was found in operative time, blood loss or
duration of stay in the intensive care unit. The duration of hospital stay was
significantly different between the THE and TTE groups (17.25 ± 5.92 vs. 12.93 ±
3.44, respectively; P ? 0.001). In-hospital mortality was higher in the TTE group
(9/47, 19.14%) than in the THE group (5/40, 12.5%) (P = 0.400). The mean survival
rate from our series showed the superiority of group A (TTE) (65.56?months) over
group B (THE) (45.01?months), with P = 0.146. CONCLUSION: No high level of
evidence suggests the superiority of one surgical procedure over another. The THE
procedure is less time-consuming concerning care and follow-up, and most patients
were more satisfied and experienced less pain than with the TTE procedure. Both
THE and TTE have comparable post-operative anastomotic complications, and they
have no significant long-term survival differences.