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DOI: 10.1055/s-0040-1709138
The Complications between Different Routes of Reconstruction after Esophagectomy
Supported by: Nature Science Foundation of Shanghai 16ZR1436900Supported by: Shanghai Education Development Foundation and Shanghai Municipal Education Commission 16SG32
![](https://www.thieme-connect.de/media/thoracic/202103/lookinside/thumbnails/10-1055-s-0040-1709138_195751ot-1.jpg)
Abstract
Background The main purpose of this study was to compare the postoperative complications caused by surgical reconstruction via either retrosternal (RS) or prevertebral (PV) routes in thoracoscopic and laparoscopic esophagectomy patients.
Materials and Methods We retrospectively screened the perioperative data in total 59 patients who underwent minimally invasive esophagectomy in time period from January 2016 to January 2018. All the patients were subgrouped into two cohorts according to the surgical routes being taken: the RS route group (28 patients) and the PV route group (31 patients). The perioperative data including operation and hospitalization time and surgical complications were comparatively analyzed.
Results The surgical procedure in all patients was successful and no case of death occurred during perioperative stage in both groups. Notably, patients in the RS group had significantly lower propensity of pneumonia than patients in the PV group (p < 0.05). However, comparative analysis revealed almost an identical time for both operative process and postoperative hospitalization. And there was no statistical significance in the rate of anastomotic leakage and stricture as well as other complications (p > 0.05).
Conclusion RS and PV paths are both safe and effective routes that yielded similar postoperative complications. Reconstruction after thoracoscopic and laparoscopic esophagectomy via the RS route had lower propensity of pneumonia than PV route.
Keywords
esophageal cancer - minimally invasive esophagectomy - retrosternal path - prevertebral path - postoperative complicationsPublication History
Received: 27 November 2019
Accepted: 24 February 2020
Article published online:
25 July 2020
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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