Application of single-direction gastric mobilization under 3D-laparoscopy in minimally invasive esophagectomy for the treatment of esophageal cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

JIANG Wanli ¹ , KANG Ganjun ¹ , WANG Xin ² , SONG Hengya ¹ , YANG Sen ¹ , HUANG Jie ¹ ,  XIE Songping ¹

1. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, P.R.China;
2. Department of Cardiothoracic Surgery, Nanyang Central Hospital, Nanyang, 473009, Henan, P.R.China;

Corresponding?author：

XIE Songping, Email: songping0428@126.com

Keywords：

Esophageal cancer; single-direction; minimally invasive esophagectomy; three-dimension; laparoscopic gastric mobilization; surgery

DOI：

10.7507/1007-4848.202003119

Video：

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Objective To evaluate the safety, feasibility and short-term outcomes of single-direction gastric mobilization under 3D-laparoscopy in minimally invasive esophagectomy for the treatment of esophageal cancer.Methods From February 2018 to December 2019, 118 consecutive patients who underwent minimally invasive McKeown esophagectomy for esophageal squamous cell carcinoma in our hospital were included. There were 94 males and 24 females with an average age of 53.7 (41–77) years. They were divided into two groups based on the methods of gastric mobilization: a traditional dissociation (TD) group (n=55) and a single-direction mobilization (MD) group (n=63). The clinical data of the two groups were compared.Results Enbloc resection and a negative resection margin were obtained in all patients. There was no postoperative mortality or incision complication. The rate of postoperative complications was 22.9%. There was no significant difference in the spleen injury, gastric injury, conversion to open surgery, abdominal reoperation as well as cervical anastomotic leakage between the two groups (P>0.05). It took significantly less time in the MD group compared with the TD group (P<0.05). There was an obvious statistical difference in the incidence of gastric mobilization related complications between the MD group (1.6%, 1/63) and TD group (12.7%, 7/55, P<0.05).Conclusion Application of single-direction gastric mobilization under 3D-laparoscopy in minimally invasive esophagectomy for the treatment of esophageal cancer is safe and easy to perform with a satisfactory short-term outcome.

Citation： JIANG Wanli, KANG Ganjun, WANG Xin, SONG Hengya, YANG Sen, HUANG Jie, XIE Songping. Application of single-direction gastric mobilization under 3D-laparoscopy in minimally invasive esophagectomy for the treatment of esophageal cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(1): 31-34. doi: 10.7507/1007-4848.202003119 Copy

1.	Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: A multicentre, open-label, randomised controlled trial. Lancet, 2012, 379(9829): 1887-1892.
2.	Booka E, Takeuchi H, Kikuchi H, et al. Recent advances in thoracoscopic esophagectomy for esophageal cancer. Asian J Endosc Surg, 2019, 12(1): 19-29.
3.	Derogar M, Sadr-Azodi O, Lagergren P, et al. Splenic injury during resection for esophageal cancer: risk factors and consequences. Ann Surg, 2015, 261(1): 111-116.
4.	郭偉, 龔太乾, 蔣耀光, 等. 366 例電視胸腔鏡食管癌切除術中及術后并發癥分析. 中華胸心血管外科雜志, 2014, 30(3): 145-148.
5.	謝絢, 傅劍華, 王軍業, 等. 腔鏡微創食管癌切除術的學習過程分析. 中華胃腸外科雜志, 2012, 15(9): 918-921.
6.	Oshikiri T, Takiguchi G, Miura S, et al. Current status of minimally invasive esophagectomy for esophageal cancer: Is it truly less invasive? Ann Gastroenterol Surg, 2018, 3(2): 138-145.
7.	張真銘, 王允, 高永山, 等. 微創手術治療食管癌 160 例臨床分析. 中華胃腸外科雜志, 2012, 15(9): 934-937.
8.	Yamashita K, Mine S, Toihata T, et al. The usefulness of three-dimensional video-assisted thoracoscopic esophagectomy in esophageal cancer patients. Esophagus, 2019, 16(3): 272-277.
9.	Kong SH, Oh BM, Yoon H, et al. Comparison of two- and three-dimensional camera systems in laparoscopic performance: A novel 3D system with one camera. Surg Endosc, 2010, 24(5): 1132-1143.

1. Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: A multicentre, open-label, randomised controlled trial. Lancet, 2012, 379(9829): 1887-1892.
2. Booka E, Takeuchi H, Kikuchi H, et al. Recent advances in thoracoscopic esophagectomy for esophageal cancer. Asian J Endosc Surg, 2019, 12(1): 19-29.
3. Derogar M, Sadr-Azodi O, Lagergren P, et al. Splenic injury during resection for esophageal cancer: risk factors and consequences. Ann Surg, 2015, 261(1): 111-116.
4. 郭偉, 龔太乾, 蔣耀光, 等. 366 例電視胸腔鏡食管癌切除術中及術后并發癥分析. 中華胸心血管外科雜志, 2014, 30(3): 145-148.
5. 謝絢, 傅劍華, 王軍業, 等. 腔鏡微創食管癌切除術的學習過程分析. 中華胃腸外科雜志, 2012, 15(9): 918-921.
6. Oshikiri T, Takiguchi G, Miura S, et al. Current status of minimally invasive esophagectomy for esophageal cancer: Is it truly less invasive? Ann Gastroenterol Surg, 2018, 3(2): 138-145.
7. 張真銘, 王允, 高永山, 等. 微創手術治療食管癌 160 例臨床分析. 中華胃腸外科雜志, 2012, 15(9): 934-937.
8. Yamashita K, Mine S, Toihata T, et al. The usefulness of three-dimensional video-assisted thoracoscopic esophagectomy in esophageal cancer patients. Esophagus, 2019, 16(3): 272-277.
9. Kong SH, Oh BM, Yoon H, et al. Comparison of two- and three-dimensional camera systems in laparoscopic performance: A novel 3D system with one camera. Surg Endosc, 2010, 24(5): 1132-1143.

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Application of single-direction gastric mobilization under 3D-laparoscopy in minimally invasive esophagectomy for the treatment of esophageal cancer

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