Minimally Invasive Esophagectomy in the Community Hospital Setting

被引:7
作者
Hanna, Erin M. [2 ]
Norton, H. James [3 ]
Reames, Mark K. [4 ]
Salo, Jonathan C. [1 ]
机构
[1] Blumenthal Canc Ctr, Carolinas Med Ctr, Dept Gen Surg, Div Surg Oncol, Charlotte, NC 28204 USA
[2] Carolinas Med Ctr, Dept Gen Surg, Charlotte, NC 28232 USA
[3] Carolinas Med Ctr, Dept Biostat, Charlotte, NC 28232 USA
[4] Sanger Heart & Vasc Inst, Charlotte, NC 28203 USA
关键词
Esophagectomy; Minimally invasive; Esophageal cancer; Community hospital; OPERATIVE MORTALITY; SURGEON-VOLUME; SURGICAL-PROCEDURES; POTENTIAL BENEFITS; CANCER; OUTCOMES; CENTERS; SPECIALTY; STANDARDS; QUALITY;
D O I
10.1016/j.soc.2011.01.009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We report our initial experience with minimally-invasive esophagectomy in 32 patients at Carolinas Medical Center, a community academic medical center. Indications for surgery were adenocarcinoma in 27, squamous cell carcinoma in 3, and benign stricture in 2. Transthoracic Ivor-Lewis esophagectomy with laparoscopy and thoracoscopy was performed in 28, a 3-stage esophagectomy in 3, and transhaital esophagectomy in 1. There was no operative mortality and median hospital stay was 10.5 days for patients treated with minimally invasive esophagectomy. This compares with an operative mortality of 8.9% and median hospital stay of 17 days for open esophagectomy in our institution.
引用
收藏
页码:521 / +
页数:11
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