Clinical outcomes of video-assisted thoracoscopic surgery esophagectomy for esophageal cancer: a propensity score-matched analysis

• DOI: 10.21037/jtd.2017.08.71
• Publication Date: 2017-09-28T07:16:03Z
• Authors: Duk Hwan Moon; Jong Mog Lee; Jae Hyun Jeon; Hee Chul Yang; Moon Soo Kim
• Keywords: Esophagectomy; Video-assisted thoracoscopic surgery

Minimally invasive esophagectomy theoretically offers advantages compared with open (OE). The aim of this study was to compare the early- and mid-term outcomes between video-assisted thoracoscopic surgery (VATS) (VE) OE in patients esophageal cancer.Between November 2011 July 2015, a total 172 were divided into two groups depending on method esophagectomy: VE group (n=42) (n=130). A propensity analysis that incorporated perioperative variables, such as age, sex, preoperative pulmonary function, Charlson comorbidity index, tumor location, histologic grade tumor, pathologic stage operative procedure (Ivor Lewis or McKeown) performed, postoperative compared.Matching based scores produced 42 each for analysis. After matching, there only mortalities group, both died pneumonia. overall incidence complications 38.1% (16 42) 57.1% (24 respectively (P=0.088). lower than (9.5% vs. 40.5%, P=0.004). 2-year survival disease-free not different (74.4% 69.5% 69.8% P=0.865 P=0.513, respectively).In select patients, superior short-term surgical results equal oncological achieved OE.