SAGES: In Esophageal Cancer, Patients can be Spared Surgery Using a Laparoscopic Approach

NEW YORK, NY — March 18, 2002 — A prospective study was performed of 32 patients with esophageal carcinoma who underwent, laparoscopic esophagectomy.

David E. Pace, MD, and colleagues at St. Michael's Hospital, University of Toronto, in Toronto, Ontario, Canada, managed esophageal cancer patients using laparoscopy and reported on early results at the 8th World Congress of Endoscopic Surgery (SAGES).

Thirty-two consecutive patients underwent laparoscopic esophagectomy if curable disease was diagnosed. Follow-up data was obtained from the patients' chart, and if the chart was incomplete, from patients themselves, their families, or family physicians.

Thirteen patients (40.6 percent) had incurable disease according to staging laparoscopy. Six of the patients with incurable disease had tumor invading local structures; six had bulky tumor involvement of celiac nodes; and one, diffuse peritoneal carcinomatosis.

Seven women and 12 men underwent laparoscopic esophagectomy. Median operative time was 380 minutes (range, 230 to 445 minutes). Median amount of blood loss during surgery was 400 cc (range, 100 to 1000 cc).

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