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 language | English |
|---|---|
| Pages (from-to) | 380-5 |
| Number of pages | 6 |
| Journal | Journal of Thoracic and Cardiovascular Surgery |
| Volume | 64 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Jul 2016 |
Cite this
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Video-assisted thoracoscopic esophagectomy : keynote lecture. / Cuesta, Miguel A; van der Wielen, Nicole; Straatman, Jennifer; van der Peet, Donald L.
In: Journal of Thoracic and Cardiovascular Surgery, Vol. 64, No. 7, 07.2016, p. 380-5.Research output: Contribution to journal › Article › Academic › peer-review
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 -