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CC BY 4.0 · Surg J (N Y) 2022; 08(01): e34-e40
DOI: 10.1055/s-0041-1736666
Original Article

A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

Mojtaba Ahmadinejad
1   Department of General Surgery, Faculty of Medicine, Úlborz University of Medical Sciences, Karaj, Iran
,
Mozaffar Hashemi
2   Department of General Surgery, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
,
Abbas Tabatabai
2   Department of General Surgery, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
› Author Affiliations
Funding No funding was secured for this study.
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Abstract

Recent studies have suggested that morbidity and mortality rate of transhiatal esophagectomy is comparable to that of thoracotomy, calling the need for the modifications in the surgical procedures. Our methodology includes stripping of esophagus by nasogastric tube to reduce the manipulation of thoracic cavity and associated complications. We also present the comparison between the stripping and classic (Orringer's technique) esophagectomy.

Patients presenting esophageal carcinoma from 2015 to 2017 were the target of this study. Patients undergoing esophagectomy were randomized to have classic or stripping esophagectomy. Operating time, manipulation time, blood losses during the surgery, duration of hospitalization, volume intake, hypotension time, arrhythmia, and transfusion were the recorded parameters. Complications, such as anastomotic leak, cardiac effects, and morbidity, were also studied. Seventy patients were referred for transhiatal esophagectomy for esophageal carcinoma at the Al Zahra Hospital. Mean ages of patients in the stripping and Orringer group were 64.00 ± 10.57 and 57.42 ± 12.20 years, respectively. Manipulation time, operating time, blood loss during the surgery, and transfusion were statistically significant variables between the two groups. Although volume intake and duration of hospitalization were not significantly different parameters, however, betterment in the outcomes was evident. Substantial decrease in overall complications via stripping method was obtained, hence can be suggested as an effective alternative, to remove the need of thoracotomy, for transhiatal esophagectomy.

Keywords

stripping - nasogastric tube - transhiatal esophagectomy - Orringer - stripping - esophageal carcinoma

Ethical Approval and Consent to Participate

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.


Consent to Participate

From the under 16 years old was given by a parent or legal guardian.


Consent for Publication

Not applicable.


Availability of Data and Material

Data sharing is not applicable to this article as no data sets were generated or analyzed during the current study.


Authors' Contributions

Dr. Mojtaba Ahmadinejad: conceptualized and designed the study, drafted the initial manuscript, and reviewed and revised the manuscript.


Dr. Mozaffar Hashemi: Designed the data collection instruments, collected data, performed the initial analyses, and reviewed and revised the manuscript.


Dr. Abbas Tabatabai: Coordinated and supervised data collection, and critically reviewed the manuscript for important intellectual content.




Publication History

Received: 04 January 2020

Accepted: 19 August 2021

Article published online:
01 February 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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