Propensity matched analysis of short term oncological and perioperative outcomes following robotic and thoracolaparoscopic esophagectomy for carcinoma esophagus- the first Indian experience
| Autor: | Parthasarathi Ramakrishnan, Palanivelu Chinnusamy, Bhushan Chittawadagi, Shivanshu Misra, Shankar Balasubramanian |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Robot medicine.medical_treatment Health Informatics Single Center Esophagus Postoperative Complications Robotic Surgical Procedures medicine Carcinoma Humans Neoadjuvant therapy Retrospective Studies business.industry Thoracoscopy Robotics Perioperative Length of Stay medicine.disease Surgery Esophagectomy Treatment Outcome medicine.anatomical_structure Propensity score matching Carcinoma Squamous Cell Resection margin Lymph Node Excision Original Article Laparoscopy business |
| Zdroj: | Journal of Robotic Surgery |
| ISSN: | 1863-2491 1863-2483 |
| Popis: | Thoracolaparoscopic esophagectomy (TLE) for carcinoma esophagus has better short-term outcomes compared to open esophagectomy. The precise role of robot-assisted laparoscopic esophagectomy (RALE) is still evolving. Single center retrospective analysis of TLE and RALE performed for carcinoma esophagus between January 2015 and September 2018. Propensity score matching was done between the groups for age, gender, BMI, ASA grade, tumor location, neoadjuvant therapy, the extent of surgical resection (Ivor Lewis or McKeown’s), histopathological type (squamous cell carcinoma or adenocarcinoma), clinical T and N stages. The primary outcome parameter was lymph node yield. Secondary outcome parameters were resection margin status, duration of surgery, blood loss, conversion to open procedure, length of hospital stay, length of ICU stay, complications, 90-day mortality and cost. There were 90 patients in TLE and 25 patients in RALE group. After propensity matching, there were 22 patients in each group. The lymph node yield was similar in both the groups (23.95 ± 8.23 vs 22.73 ± 11.63; p = 0.688). There were no conversions or positive resection margins in either group. RALE was associated with longer operating duration (513.18 ± 91.23 min vs 444.77 ± 64.91 min; p = 0.006) and higher cost ($5271.75 ± 456.46 vs $4243.01 ± 474.64; p |
| Databáze: | OpenAIRE |
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