Title :

Major Intraoperative Complications During Minimally Invasive Esophagectomy

Author(s) :

Söderström, H. [Auteur]
Moons, J. [Auteur]
Nafteux, P. [Auteur]
Uzun, E. [Auteur]
Grimminger, P. [Auteur]
Luyer, M. [Auteur]
Nieuwenhuijzen, G. [Auteur]
Nilsson, M. [Auteur]
Center for Sensory-Motor Interaction [SMI]
Hayami, M. [Auteur]
Degisors, S. [Auteur]
Piessen, G. [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hétérogénéité, Plasticité et Résistance aux Thérapies des Cancers = Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Vanommeslaeghe, H. [Auteur]
van Daele, E. [Auteur]
Ghent University Hospital
Cheong, E. [Auteur]
Gutschow, Ch [Auteur]
Vetter, D. [Auteur]
Hôpital de Hautepierre [Strasbourg]
Schuring, N. [Auteur]
Gisbertz, S. [Auteur]
Räsänen, J. [Auteur]

Journal title :

Annals of Surgical Oncology

Pages :

8244-8250

Publisher :

Springer Verlag

Publication date :

2023-10-02

ISSN :

1068-9265

HAL domain(s) :

Sciences du Vivant [q-bio]/Cancer

English abstract : [en]

Abstract Background Studies have shown minimally invasive esophagectomy (MIE) to be a feasible surgical technique in treating esophageal carcinoma. Postoperative complications have been extensively reviewed, but literature ...
Show more >Abstract Background Studies have shown minimally invasive esophagectomy (MIE) to be a feasible surgical technique in treating esophageal carcinoma. Postoperative complications have been extensively reviewed, but literature focusing on intraoperative complications is limited. The main objective of this study was to report major intraoperative complications and 90-day mortality during MIE for cancer. Methods Data were collected retrospectively from 10 European esophageal surgery centers. All intention-to-treat, minimally invasive laparoscopic/thoracoscopic esophagectomies with gastric conduit reconstruction for esophageal and GE junction cancers operated on between 2003 and 2019 were reviewed. Major intraoperative complications were defined as loss of conduit, erroneous transection of vascular structures, significant injury to other organs including bowel, heart, liver or lung, splenectomy, or other major complications including intubation injuries, arrhythmia, pulmonary embolism, and myocardial infarction. Results Amongst 2862 MIE cases we identified 98 patients with 101 intraoperative complications. Vascular injuries were the most prevalent, 41 during laparoscopy and 19 during thoracoscopy, with injuries to 18 different vessels. There were 24 splenic vascular or capsular injuries, 11 requiring splenectomies. Four losses of conduit due to gastroepiploic artery injury and six bowel injuries were reported. Eight tracheobronchial lesions needed repair, and 11 patients had significant lung parenchyma injuries. There were 2 on-table deaths. Ninety-day mortality was 9.2%. Conclusions This study offers an overview of the range of different intraoperative complications during minimally invasive esophagectomy. Mortality, especially from intrathoracic vascular injuries, appears significant.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL