Navigation Links
Less-Invasive Surgery for Esophageal Cancer Might Be Safer
Date:4/30/2012

MONDAY, April 30 (HealthDay News) -- Besides being easier on the patient, minimally invasive surgery to remove the esophagus of patients with esophageal cancer can also greatly reduce the risk of lung infection compared to traditional open surgery, a new study finds.

Dutch researchers also found that patients who undergo this less-invasive procedure have much shorter hospital stays and a better short-term quality of life than those who have open surgery, which requires cutting through a patient's chest.

One U.S. expert was impressed with the findings. The study "goes a long way to encouraging esophageal surgeons to seriously consider minimally invasive surgery for their patients with surgically resectable [removable] esophageal cancers," said Dr. Jonathan Aviv, clinical director of the Voice and Swallowing Center at Mount Sinai Medical Center in New York City.

Removal of part of or the entire esophagus (a procedure called esophagectomy) is the mainstay of esophageal cancer treatment. This study compared open esophagectomy and minimally invasive esophagectomy.

The minimally invasive procedure was first used two decades ago but this is the first study to compare minimally invasive and open esophagectomy, according to Miguel Cuesta, of the VU University Medical Centre in Amsterdam, and colleagues.

The researchers looked at the outcomes of 56 patients who had open surgery and 59 patients who had the minimally invasive procedure. In the two weeks after surgery, lung (or pulmonary) infections occurred in 29 percent of those who had open surgery but only 9 percent of those who had minimally invasive surgery.

Overall, 34 percent of the patients who had open surgery developed a lung infection, compared with 12 percent of those who underwent minimally invasive surgery, the study found.

The researchers also noted that patients who had minimally invasive surgery had less blood loss, far shorter hospital stays, and better quality of life (much less pain and vocal-cord paralysis).

Importantly, minimally invasive surgery was as effective as open surgery, the study authors concluded in the report published online April 30 in The Lancet.

"If these results can be confirmed in other settings, minimally invasive esophagectomy could truly become the standard of care," Simon Law, of the University of Hong Kong, China, wrote in an accompanying editorial.

For his part, Aviv also believes that the study "underscores the need for continued early screening of patients with symptoms suggestive of esophageal cancer -- cough and hoarseness, likely even more important than 'typical' gastrointestinal symptoms such as heartburn and regurgitation."

Aviv, who is also clinical professor of otolaryngology at Mount Sinai Medical Center, added that "esophageal cancer both in western Europe and here in the USA is the only cancer that is markedly increasing in incidence the past 30 years."

More information

The U.S. National Cancer Institute has more about esophageal cancer.

-- Robert Preidt

SOURCES: Jonathan E. Aviv, M.D., F.A.C.S., clinical director, Voice and Swallowing Center ENT and Allergy Associates, and clinical professor, otolaryngology, Mount Sinai Medical Center, New York City; The Lancet, news release, April 30, 2012


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Less-invasive Lymph Node Resection Following Breast Cancer Surgery Confirmed as Standard of Care in Eight-year Study Led by AGH Doctors
2. Repeated Weight-Loss Surgery Carries Added Risks
3. The New Liposuction Technique Means No Surgery or Suction
4. Research validates surgery alone offers reasonable overall survival for stage I SCLC
5. "New Cosmetic Surgery" Journalism Prize
6. Abington Memorial Hospital Welcomes Vakil to Orthopaedic Surgery Division
7. Drug for advanced kidney cancer shrinks tumors prior to surgery
8. Abington Memorial Hospital Earns Two Designations: Blue Distinction Center for Spine Surgery(SM) and Blue Distinction Center for Knee and Hip Replacement(SM)
9. New endoscopic treatment may spare Barretts esophagus patients from surgery
10. Pittsburgh Neurosurgeons Explore Use of Drug that Illuminates Brain Tumor Cells To Guide Surgery
11. Surgery Alone May Thwart Stage 1 Lung Cancer
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Less-Invasive Surgery for Esophageal Cancer Might Be Safer
(Date:8/22/2017)... ... August 22, 2017 , ... John Stewart joins ... Managing Member for t4 Leadership Development & Consulting. He has spent his career ... “success”: physician leadership development, servant leadership, data driven process improvement, and supportive technology. ...
(Date:8/21/2017)... ... 2017 , ... PracticeMatch, a company that provides online resources , ... advanced practitioners like nurse practitioners and physician assistants , will conduct ... this year. The online career fairs will allow job seekers to connect with healthcare ...
(Date:8/21/2017)... ... August 21, 2017 , ... FCPX LUT Monochromatic Volume 2 ... quickly and easily add washed color grades to footage. A LUT is a Lookup ... pixel’s color to the corresponding color indicated by the table. This pack comes with ...
(Date:8/21/2017)... ... August 21, 2017 , ... Duncan Insurance Agency debuts ... people of Michigan. The new initiative fundraises for the Kalamazoo Humane Society (KHS), ... of animal protection and welfare by addressing the root causes of pet overpopulation. ...
(Date:8/21/2017)... ... August 21, 2017 , ... San Diego physician and surgeon Dr. James Veltmeyer, ... announced his candidacy for the 52nd Congressional District currently held by Representative Scott Peters. ... to this country at age eleven after suffering homelessness and hardship in a distant ...
Breaking Medicine News(10 mins):
(Date:8/1/2017)... CerSci Therapeutics , a non-opioid drug development firm based ... notice from the National Institute on Drug Abuse (NIDA) ... has been awarded a Direct-to-Phase II Small Business Innovation ... an additional $1,000,000 to follow in 2018. These funds ... lead non-opioid drug candidate CT-044 to the Food and ...
(Date:7/31/2017)... , July 31, 2017 Three Tru-D SmartUVC robots ... South Korea . Tru-D, short for "Total Room Ultraviolet Disinfection," ... rooms after an environmental services (ES) professional cleans the area with traditional ... Tru-D ... "Although the BAACH has ...
(Date:7/28/2017)... Holdings, Inc. ("Hill-Rom") (NYSE: HRC), today announced financial results ... and updated its financial outlook for fiscal 2017. ... third quarter, Hill-Rom reported earnings of $0.09 per diluted ... prior-year period. These results reflect after-tax special items, including ... to the non-cash write-down of assets associated with the ...
Breaking Medicine Technology: