A Prospective Study Comparing Laparoscopic vs. Conventional Stomach Pull Up in Total Pharyngo-Laryngo-Esophagectomy for Post Cricoid Cancer
| Autor: | Saseendran Shruthi, Ali Z Anwar, Basavegowda Vinod Prakash, Mahadev Abhishek, Shivaji Sharma |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment laparoscopy TPLE 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Blood loss Medicine Laparoscopy Prospective cohort study lcsh:R5-920 medicine.diagnostic_test business.industry Stomach Brief Report Cancer General Medicine Perioperative medicine.disease Surgery medicine.anatomical_structure Esophagectomy 030220 oncology & carcinogenesis stomach pull through post cricoid cancer lcsh:Medicine (General) Complication business |
| Zdroj: | Clinics and Practice Clinics and Practice, Vol 11, Iss 25, Pp 178-184 (2021) |
| ISSN: | 2039-7275 |
| Popis: | The aim of this study is to compare laparoscopic and conventional techniques following Total Pharyngo-laryngo-esophagectomy (TPLE) with respect to perioperative morbidity and mortality and postoperative recovery in post cricoid cancer patients. This is a prospective study, which was undertaken in Gujrat Cancer Research Institute (GCRI) in the period of July 2007 to March 2010. Fifteen consecutive patients who underwent laparoscopic TPLE were compared to that of 18 consecutive patients who underwent open TPLE. Laparoscopic and open TPLE procedure were compared with respect to patient characteristics, intra operative and complications present. The average duration was observed to be 3.5 h in the MIS (Minimally Invasive Group) group and was 5.3 h in the open group. The average blood loss was 300 mL in the MIS group and 500 mL in the open group. Average duration of the hospital stay in the MIS group was 13 days and 16 days in the open group. In the MIS group, one patient (6.7%) had a pneumonic complication and two patients (13%) had wound complications. In the open group, six patients (33%) had pneumonic consolidation and four patients (22%) had wound infections. In both groups, one patient each suffered mortality. Laparoscopic TPLE has been found to be much safer with less morbidity as compared with open surgery. |
| Databáze: | OpenAIRE |
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