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ORIGINAL ARTICLE Esophagectomy Using a Thoracoscopic Approach With an Open Laparotomic or Hand-Assisted Laparoscopic Abdominal Stage for Esophageal Cancer Analysis of Survival and Prognostic Factors in 315 Patients ∗ ∗ ∗ Hirofumi Ichikawa, MD, PhD, Go Miyata, MD, PhD, Shukichi Miyazaki, MD, PhD,† Ko Onodera, MD, PhD, ∗ ∗ Takashi Kamei, MD, PhD, Tohru Hoshida, MD, PhD,‡ Hiroshi Kikuchi, MD, PhD, Rikiya Kanba, MD, PhD,§ ∗ ∗ Toru Nakano, MD, PhD, Takashi Akaishi, MD, PhD,|| and Susumu Satomi, MD, PhD techniques since the first report of esophagectomy with a right tho- Objective: To estimate the oncological feasibility of thoracoscopic-assisted racoscopic approach in 1992. Various endoscopic techniques for esophagectomy (TAE) for esophageal cancer and to clarify the prognostic esophagectomy have been demonstrated, most using a thoracoscopic impact of perioperative factors after TAE. approach, together with an open laparotomic or laparoscopic ab- Background: Favorable perioperative outcomes of TAE versus open surgery dominal stage (thoracoscopic-assisted esophagectomy, TAE). Favor- have been demonstrated. However, survival data after TAE in a large cohort able perioperative outcomes for TAE have been demonstrated in are limited, and no information on the prognostic influence of perioperative 4–10 comparative studies between TAE and open surgery, and on- factors after
Annals of Surgery – Wolters Kluwer Health
Published: May 1, 2013
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