A STUDY ON COMPARISON BETWEEN VIDEO ASSISTED THORACOSCOPIC SURGERY AND TRANHIATAL ESOPHAGECTOMY FOR CARCINOMA ESOPHAGUS

Dr. U Aravindan, Dr. M Ponchidambaram, Dr. S Narayanan

Abstract


Aim: To compare the outcomes, perioperative events and advantages of each method in patients undergoing esophagectomy for carcinoma esophagus by video-assisted thoracoscopic surgery (VATS) and transhiatal esophagectomy (THE).

Methods: A retrospective analysis was done for 70 patients, who underwent esophagectomy between July 2013 and July 2018 in the department of Surgical Gastroenterology, Thanjavur Medical College Hospital. Patients were divided into two groups based on operative technique (VATS vs THE), with 31 patients in the VATS group and 39 patients in the THE group. Duration of surgery, intraoperative blood loss and  blood transfusion, number of lymph nodes harvested, postoperative pain score, number of days requiring chest tube drainage, complications such as wound infection and anastomotic leak and length of hospital stay were all statistically analyzed between the two groups.

Results: There was no statistical difference between the two groups with regard to duration of surgery or number of lymph nodes harvested. The VATS group had significantly less intraoperative blood loss, intraoperative blood transfusion, postoperative pain, earlier ambulation, shorter postoperative hospital stay, and a shorter period of time requiring chest tube drainage. Pulmonary complication (pneumonia and pleural effusion) was less prevalent among the VATS group.

Conclusion: Compared with THE, VATS-assisted esophagectomy is less traumatic with lower intraoperative blood loss, faster recovery, and a better overall outcome.


Keywords


mediastinal tumors,thoracoscope,cavitary pulmonary

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References


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