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KMID : 1035920140170020021
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Journal of Minimally Invasive Surgery
2014 Volume.17 No. 2 p.21 ~ p.25
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Novel Laparoscopic Gastric Tubing with Pyloromyotomy for Treatment of Esophageal Cancer
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Lee Youn-Keun
Sung Sook-Whan
Park Jae-Kil
Park Cho-Hyun
Song Kyo-Young
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Abstract
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Purpose: We report on a novel method and outcomes of laparoscopic gastric tubing with pyloromyotomy.
Methods: The abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, for-mation of the gastric tube, and pyloromyotomy. Between January 2009 and April 2013, our minimally invasive esoph-agectomy (MIE) was performed on 54 patients with esoph-ageal cancer. The short-term outcomes, including post-operative complications, were analyzed.
Results: There were no cases of conversion to open surgery. Of 54 patients, 52 patients had squamous cell carcinoma (SCC) and two had adenocarcinoma. The total operative time was 349.8±77.4 minutes, of which 90.6±27.6 minutes was re-quired for the abdominal procedure. The mean estimated op-erative blood loss during the abdominal procedure was 40.0 ±355.5 ml. The postoperative complication rate was 24.1%; three patients died of pneumonia.
Conclusion: Laparoscopic gastric tubing with pyloromy-otomy is a feasible and safe treatment option for patients with esophageal cancer.
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KEYWORD
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Esophageal cancer, Minimally invasive, Laparoscopy, Gastric tubing, Feasibility
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