Thorac Cardiovasc Surg 2021; 69(03): 211-215
DOI: 10.1055/s-0040-1709138
Original Thoracic

The Complications between Different Routes of Reconstruction after Esophagectomy

Mingdong Wang
1  Department of Thoracic Surgery, Changzheng Hospital, Shanghai, People's Republic of China
,
Yuxiang Jin
1  Department of Thoracic Surgery, Changzheng Hospital, Shanghai, People's Republic of China
,
Guangyuan Sun
1  Department of Thoracic Surgery, Changzheng Hospital, Shanghai, People's Republic of China
,
Xuewei Zhao
1  Department of Thoracic Surgery, Changzheng Hospital, Shanghai, People's Republic of China
,
Lei Xue
1  Department of Thoracic Surgery, Changzheng Hospital, Shanghai, People's Republic of China
› Author Affiliations
Supported by: Nature Science Foundation of Shanghai 16ZR1436900
Supported by: Shanghai Education Development Foundation and Shanghai Municipal Education Commission 16SG32

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.



Publication History

Received: 27 November 2019

Accepted: 24 February 2020

Publication Date:
25 July 2020 (online)

Georg Thieme Verlag KG
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