Recent advances in thoracoscopic esophagectomy for esophageal cancer

Eisuke Booka, Hiroya Takeuchi, Hirotoshi Kikuchi, Yoshihiro Hiramatsu, Kinji Kamiya, Hirofumi Kawakubo, Yuukou Kitagawa

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

Technical advances and developments in endoscopic equipment and thoracoscopic surgery have increased the popularity of minimally invasive esophagectomy (MIE). However, there is currently no established scientific evidence supporting the use of MIE as an alternative to open esophagectomy (OE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and we recently reported one of the largest propensity score-matched comparison studies between MIE and OE for esophageal cancer, based on a nationwide Japanese database. We found that, in general, MIE had a longer operative time and less blood loss than OE. Moreover, compared to OE, MIE was associated with a lower rate of pulmonary complications such as pneumonia, and both methods had similar mortality rates. Although MIE may reduce the occurrence of postoperative respiratory complications, MIE and OE seem to have comparable short-term outcomes. However, the oncological benefit to patients undergoing MIE remains to be scientifically proven, as no randomized controlled trials have been conducted to verify each method's impact on the long-term survival of cancer patients. An ongoing randomized phase III study (JCOG1409) is expected to determine the impact of each method with regard to short- and long-term outcomes.

Original languageEnglish
Pages (from-to)19-29
Number of pages11
JournalAsian journal of endoscopic surgery
Volume12
Issue number1
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Esophagectomy
Esophageal Neoplasms
Thoracoscopy
Propensity Score
Operative Time
Meta-Analysis

Keywords

  • Esophageal cancer
  • minimally invasive
  • thoracoscopy

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Recent advances in thoracoscopic esophagectomy for esophageal cancer. / Booka, Eisuke; Takeuchi, Hiroya; Kikuchi, Hirotoshi; Hiramatsu, Yoshihiro; Kamiya, Kinji; Kawakubo, Hirofumi; Kitagawa, Yuukou.

In: Asian journal of endoscopic surgery, Vol. 12, No. 1, 01.01.2019, p. 19-29.

Research output: Contribution to journalReview article

Booka, Eisuke ; Takeuchi, Hiroya ; Kikuchi, Hirotoshi ; Hiramatsu, Yoshihiro ; Kamiya, Kinji ; Kawakubo, Hirofumi ; Kitagawa, Yuukou. / Recent advances in thoracoscopic esophagectomy for esophageal cancer. In: Asian journal of endoscopic surgery. 2019 ; Vol. 12, No. 1. pp. 19-29.
@article{589c2331672a4f1aa1664c862179d475,
title = "Recent advances in thoracoscopic esophagectomy for esophageal cancer",
abstract = "Technical advances and developments in endoscopic equipment and thoracoscopic surgery have increased the popularity of minimally invasive esophagectomy (MIE). However, there is currently no established scientific evidence supporting the use of MIE as an alternative to open esophagectomy (OE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and we recently reported one of the largest propensity score-matched comparison studies between MIE and OE for esophageal cancer, based on a nationwide Japanese database. We found that, in general, MIE had a longer operative time and less blood loss than OE. Moreover, compared to OE, MIE was associated with a lower rate of pulmonary complications such as pneumonia, and both methods had similar mortality rates. Although MIE may reduce the occurrence of postoperative respiratory complications, MIE and OE seem to have comparable short-term outcomes. However, the oncological benefit to patients undergoing MIE remains to be scientifically proven, as no randomized controlled trials have been conducted to verify each method's impact on the long-term survival of cancer patients. An ongoing randomized phase III study (JCOG1409) is expected to determine the impact of each method with regard to short- and long-term outcomes.",
keywords = "Esophageal cancer, minimally invasive, thoracoscopy",
author = "Eisuke Booka and Hiroya Takeuchi and Hirotoshi Kikuchi and Yoshihiro Hiramatsu and Kinji Kamiya and Hirofumi Kawakubo and Yuukou Kitagawa",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/ases.12681",
language = "English",
volume = "12",
pages = "19--29",
journal = "Asian journal of endoscopic surgery",
issn = "1758-5902",
publisher = "Wiley Blackwell",
number = "1",

}

TY - JOUR

T1 - Recent advances in thoracoscopic esophagectomy for esophageal cancer

AU - Booka, Eisuke

AU - Takeuchi, Hiroya

AU - Kikuchi, Hirotoshi

AU - Hiramatsu, Yoshihiro

AU - Kamiya, Kinji

AU - Kawakubo, Hirofumi

AU - Kitagawa, Yuukou

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Technical advances and developments in endoscopic equipment and thoracoscopic surgery have increased the popularity of minimally invasive esophagectomy (MIE). However, there is currently no established scientific evidence supporting the use of MIE as an alternative to open esophagectomy (OE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and we recently reported one of the largest propensity score-matched comparison studies between MIE and OE for esophageal cancer, based on a nationwide Japanese database. We found that, in general, MIE had a longer operative time and less blood loss than OE. Moreover, compared to OE, MIE was associated with a lower rate of pulmonary complications such as pneumonia, and both methods had similar mortality rates. Although MIE may reduce the occurrence of postoperative respiratory complications, MIE and OE seem to have comparable short-term outcomes. However, the oncological benefit to patients undergoing MIE remains to be scientifically proven, as no randomized controlled trials have been conducted to verify each method's impact on the long-term survival of cancer patients. An ongoing randomized phase III study (JCOG1409) is expected to determine the impact of each method with regard to short- and long-term outcomes.

AB - Technical advances and developments in endoscopic equipment and thoracoscopic surgery have increased the popularity of minimally invasive esophagectomy (MIE). However, there is currently no established scientific evidence supporting the use of MIE as an alternative to open esophagectomy (OE). To date, a number of single-institution studies and several meta-analyses have demonstrated acceptable short-term outcomes of thoracoscopic esophagectomy for esophageal cancer, and we recently reported one of the largest propensity score-matched comparison studies between MIE and OE for esophageal cancer, based on a nationwide Japanese database. We found that, in general, MIE had a longer operative time and less blood loss than OE. Moreover, compared to OE, MIE was associated with a lower rate of pulmonary complications such as pneumonia, and both methods had similar mortality rates. Although MIE may reduce the occurrence of postoperative respiratory complications, MIE and OE seem to have comparable short-term outcomes. However, the oncological benefit to patients undergoing MIE remains to be scientifically proven, as no randomized controlled trials have been conducted to verify each method's impact on the long-term survival of cancer patients. An ongoing randomized phase III study (JCOG1409) is expected to determine the impact of each method with regard to short- and long-term outcomes.

KW - Esophageal cancer

KW - minimally invasive

KW - thoracoscopy

UR - http://www.scopus.com/inward/record.url?scp=85060533070&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060533070&partnerID=8YFLogxK

U2 - 10.1111/ases.12681

DO - 10.1111/ases.12681

M3 - Review article

C2 - 30590876

AN - SCOPUS:85060533070

VL - 12

SP - 19

EP - 29

JO - Asian journal of endoscopic surgery

JF - Asian journal of endoscopic surgery

SN - 1758-5902

IS - 1

ER -