Akademik Veri Yönetim Sistemi
Turkish Journal of Surgery, cilt.22, sa.4, ss.140-145, 2006 (Scopus)
Purpose: The aim of this study is to evaluate the results of minimally invasive surgical approach in the treatment of the patients who have esophageal cancer. Materials and Methods: Between May 2003 and February 2007, nine consecutive patients underwent minimally invasive surgery for esophageal cancer by a single surgical team. Surgical techni que, operative data and short term results were asssessed. Results: There were five male and four female patients with a mean age of 55 [29-74) years. Esophageat tumor localization sites were upper third in three, middle third in four, lower third in two patients. Three staged operation was performed in all patients, except one right thoracoscopy or thoracotomy, laparoscopy or laparotomy, cervical anastomosis). Laparoscopic translatai esophagectomy was done in one patient. Gastric conduit was used in eight patients whereas left colon interposition in one patient for reconstruction. One patient who underwent a left colonie interposition died on the postoperative day 11 because of aspiration pneumonia. Hoarseness developed in one patient caused by recurrent nerve injury. Mean operation time was 270 [210-360] minutes. All patients, except two were followed in the surgery service. Mean postoperative hospital stay was 11 [7-18] days. Mean follow-up time was 11 (1-35) months. There was no recurrence during follow-up. Conclusion: Minimally invasive esophagectomy is a reliable procedure with advantages of minimally invasive surgery. Effective oncological resection can be done. We think that it will be a good alternative procedure over conventional esophagectomy with an increased experience.