J Minim Invasive Surg.
2014 Jun;17(2):21-25.
Novel Laparoscopic Gastric Tubing with Pyloromyotomy for Treatment of Esophageal Cancer
- Affiliations
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- 1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. skygs@catholic.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- PURPOSE
We report on a novel method and outcomes of laparoscopic gastric tubing with pyloromyotomy.
METHODS
The abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, formation of the gastric tube, and pyloromyotomy. Between January 2009 and April 2013, our minimally invasive esophagectomy (MIE) was performed on 54 patients with esophageal cancer. The short-term outcomes, including postoperative complications, were analyzed.
RESULTS
There were no cases of conversion to open surgery. Of 54 patients, 52 patients had squamous cell carcinoma (SCC) and two had adenocarcinoma. The total operative time was 349.8+/-77.4 minutes, of which 90.6+/-27.6 minutes was required for the abdominal procedure. The mean estimated operative blood loss during the abdominal procedure was 40.0+/-355.5 ml. The postoperative complication rate was 24.1%; three patients died of pneumonia.
CONCLUSION
Laparoscopic gastric tubing with pyloromyotomy is a feasible and safe treatm ent option for patients with esophageal cancer.
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