Video-assisted thoracoscopic esophagectomy: keynote lecture

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.

Original languageEnglish
Pages (from-to)380-5
Number of pages6
JournalJournal of Thoracic and Cardiovascular Surgery
Volume64
Issue number7
DOIs
Publication statusPublished - Jul 2016

Cite this

@article{34de549adb0d4454a0b04bd60935acd9,
title = "Video-assisted thoracoscopic esophagectomy: keynote lecture",
abstract = "Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.",
keywords = "Esophageal Neoplasms, Esophagectomy, Humans, Neoadjuvant Therapy, Quality of Life, Thoracic Surgery, Video-Assisted, Treatment Outcome, Journal Article, Lectures, Review",
author = "Cuesta, {Miguel A} and {van der Wielen}, Nicole and Jennifer Straatman and {van der Peet}, {Donald L}",
year = "2016",
month = "7",
doi = "10.1007/s11748-016-0650-3",
language = "English",
volume = "64",
pages = "380--5",
journal = "Journal of Thoracic and Cardiovascular Surgery",
issn = "0022-5223",
publisher = "Mosby Inc.",
number = "7",

}

TY - JOUR

T1 - Video-assisted thoracoscopic esophagectomy

T2 - keynote lecture

AU - Cuesta, Miguel A

AU - van der Wielen, Nicole

AU - Straatman, Jennifer

AU - van der Peet, Donald L

PY - 2016/7

Y1 - 2016/7

N2 - Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.

AB - Minimally invasive esophagectomy (MIE) by thoracoscopy after neoadjuvant therapy results in significant short-term advantages such as a lower incidence of pulmonary infections and a better quality of life (QoL) with the same completeness of resection. After 1 year, a better QoL is still observed for MIE in comparison with the open approach, while having the same survival. Seven issues about implementation of MIE for cancer require discussion: (1) choice of the extension of esophageal resection and use of neoadjuvant therapy; (2) reasons to approach the esophageal cancer by MIE; (3) determining the best minimally invasive approach for gastro-esophageal junction cancers; (4) implementation of evidence-based MIE; (5) standardization of the surgical anatomy of the esophagus based on MIE; (6) future lines of research of MIE; and (7) learning process. In the time of imaging-integrated surgery it is clear that the MIE approach should be increasingly implemented in all centers worldwide having an adequate volume of patients and expertise.

KW - Esophageal Neoplasms

KW - Esophagectomy

KW - Humans

KW - Neoadjuvant Therapy

KW - Quality of Life

KW - Thoracic Surgery, Video-Assisted

KW - Treatment Outcome

KW - Journal Article

KW - Lectures

KW - Review

U2 - 10.1007/s11748-016-0650-3

DO - 10.1007/s11748-016-0650-3

M3 - Article

VL - 64

SP - 380

EP - 385

JO - Journal of Thoracic and Cardiovascular Surgery

JF - Journal of Thoracic and Cardiovascular Surgery

SN - 0022-5223

IS - 7

ER -