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Ann Surg: Is esophageal cancer resection, thoracotomy or transthoracoscope?

 Last Update: 2021-06-21
 Source: Internet
 Author: User

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Esophageal cancer is one of the leading causes of cancer-related deaths in the world

The survival outcome of patients with esophageal squamous cell carcinoma (ESCC) treated with thoracotomy or thoracoscopic esophagectomy is unclear

This study aimed to compare the overall survival prognosis of ESCC patients who did not receive neoadjuvant CRT treated with thoracotomy or thoracoscopic esophagectomy

The researchers investigated ESCC cases from the Taiwan Cancer Registry from 2008 to 2016, and included 2053 ESCC patients who underwent open thoracoesophagectomy (n=645) or thoracoscopic esophagectomy (n=1408)

The overall survival rate of all patients treated with two types of surgery

After 1:2 propensity score matching, a total of 1299 ESCC patients with comparable clinicopathological characteristics were identified

The 3-year overall survival rate of matched patients in the thoracoscopy group was better than that of the thoracotomy group (58.

Overall survival rate of matched patients treated with two types of surgery

A stage-specific comparison shows that the survival rate of patients with pathological stage I/II ESCC who undergoes thoracoscopic esophagectomy is higher than that of patients who undergo thoracotomy esophagectomy

The survival rate of patients with pathological stage I/II ESCC who undergoes thoracoscopic esophagectomy is higher than that of patients who undergo thoracotomy esophagectomy

In summary, this trend-matching study shows that for ESCC patients who have not undergone neoadjuvant CRT, thoracoscopic esophagectomy can provide a higher survival rate than thoracotomy esophagectomy

For ESCC patients without neoadjuvant CRT, thoracoscopic esophagectomy can provide a higher survival rate than thoracotomy.

Original source:

Wang Bing-Yen,Lin Ching-Hsiung,Wu Shiao-Chi et al.

Survival Comparison Between Open and Thoracoscopic Upfront Esophagectomy in Patients with Esophageal Squamous Cell Carcinoma

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