Universität zu Köln

Babic, B., Schiffmann, L. M., Schroder, W., Bruns, C. J. and Fuchs, H. F. (2021). Evidence in minimally invasive oncological surgery of the esophagus. Chirurg, 92 (4). S. 299 - 304. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0385

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Abstract

Background. Thoracoabdominal esophagectomy still plays a major role in the oncological treatment for esophageal cancer. Minimally invasive procedures were developed to reduce the high rate of postoperative morbidity and mortality without negatively affecting the oncological outcome. Objective. What evidence supports minimally invasive oncological surgery of the esophagus? Do patients benefit from minimally invasive esophagectomy compared to an open approach? Is the reduction of surgical access trauma specifically advantageous? Material and methods. Review, evaluation and critical analysis of the international literature. Results. A reduction in postoperative morbidity by decreasing surgical trauma was confirmed by three prospective randomized clinical trials, while showing at least similar oncological outcomes. Diverse retrospective analyses and meta-analyses also came to the same result. Conclusion. A minimization of surgical access trauma during thoracoabdominal esophagectomy reduces postoperative morbidity compared to conventional open surgery. Recent evidence suggests that oncological outcomes are not altered depending on the surgical approach.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Babic, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schiffmann, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroder, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bruns, C. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuchs, H. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-562933
DOI:	10.1007/s00104-020-01337-x
Journal or Publication Title:	Chirurg
Volume:	92
Number:	4
Page Range:	S. 299 - 304
Date:	2021
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0385
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OPEN ESOPHAGECTOMY; SUBTOTAL ESOPHAGECTOMY; CANCER; OUTCOMES; MULTICENTER Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56293