Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer
Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Okumura, Hiroshi [verfasserIn] Uchikado, Yasuto [verfasserIn] Matsumoto, Masataka [verfasserIn] Omoto, Itaru [verfasserIn] Sasaki, Ken [verfasserIn] Kita, Yoshiaki [verfasserIn] Arigami, Takaaki [verfasserIn] Uenosono, Yoshikazu [verfasserIn] Nakajo, Akihiro [verfasserIn] Owaki, Tetsuhiro [verfasserIn] Mori, Shinichiro [verfasserIn] Ishigami, Sumiya [verfasserIn] Natsugoe, Shoji [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Langenbeck's archives of surgery - Berlin : Springer, 1948, 400(2015), 6 vom: Aug., Seite 699-706 |
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| Übergeordnetes Werk: |
volume:400 ; year:2015 ; number:6 ; month:08 ; pages:699-706 |
| Links: |
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| DOI / URN: |
10.1007/s00423-015-1330-y |
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| Katalog-ID: |
SPR005585848 |
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| 520 | |a Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. | ||
| 650 | 4 | |a Esophageal cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Mediastinoscope |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Transhiatal esophagectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Minimally invasive surgery |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Uchikado, Yasuto |e verfasserin |4 aut | |
| 700 | 1 | |a Matsumoto, Masataka |e verfasserin |4 aut | |
| 700 | 1 | |a Omoto, Itaru |e verfasserin |4 aut | |
| 700 | 1 | |a Sasaki, Ken |e verfasserin |4 aut | |
| 700 | 1 | |a Kita, Yoshiaki |e verfasserin |4 aut | |
| 700 | 1 | |a Arigami, Takaaki |e verfasserin |4 aut | |
| 700 | 1 | |a Uenosono, Yoshikazu |e verfasserin |4 aut | |
| 700 | 1 | |a Nakajo, Akihiro |e verfasserin |4 aut | |
| 700 | 1 | |a Owaki, Tetsuhiro |e verfasserin |4 aut | |
| 700 | 1 | |a Mori, Shinichiro |e verfasserin |4 aut | |
| 700 | 1 | |a Ishigami, Sumiya |e verfasserin |4 aut | |
| 700 | 1 | |a Natsugoe, Shoji |e verfasserin |4 aut | |
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10.1007/s00423-015-1330-y doi (DE-627)SPR005585848 (SPR)s00423-015-1330-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Okumura, Hiroshi verfasserin aut Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Uchikado, Yasuto verfasserin aut Matsumoto, Masataka verfasserin aut Omoto, Itaru verfasserin aut Sasaki, Ken verfasserin aut Kita, Yoshiaki verfasserin aut Arigami, Takaaki verfasserin aut Uenosono, Yoshikazu verfasserin aut Nakajo, Akihiro verfasserin aut Owaki, Tetsuhiro verfasserin aut Mori, Shinichiro verfasserin aut Ishigami, Sumiya verfasserin aut Natsugoe, Shoji verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 400(2015), 6 vom: Aug., Seite 699-706 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:400 year:2015 number:6 month:08 pages:699-706 https://dx.doi.org/10.1007/s00423-015-1330-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 400 2015 6 08 699-706 |
| spelling |
10.1007/s00423-015-1330-y doi (DE-627)SPR005585848 (SPR)s00423-015-1330-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Okumura, Hiroshi verfasserin aut Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Uchikado, Yasuto verfasserin aut Matsumoto, Masataka verfasserin aut Omoto, Itaru verfasserin aut Sasaki, Ken verfasserin aut Kita, Yoshiaki verfasserin aut Arigami, Takaaki verfasserin aut Uenosono, Yoshikazu verfasserin aut Nakajo, Akihiro verfasserin aut Owaki, Tetsuhiro verfasserin aut Mori, Shinichiro verfasserin aut Ishigami, Sumiya verfasserin aut Natsugoe, Shoji verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 400(2015), 6 vom: Aug., Seite 699-706 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:400 year:2015 number:6 month:08 pages:699-706 https://dx.doi.org/10.1007/s00423-015-1330-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 400 2015 6 08 699-706 |
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10.1007/s00423-015-1330-y doi (DE-627)SPR005585848 (SPR)s00423-015-1330-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Okumura, Hiroshi verfasserin aut Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Uchikado, Yasuto verfasserin aut Matsumoto, Masataka verfasserin aut Omoto, Itaru verfasserin aut Sasaki, Ken verfasserin aut Kita, Yoshiaki verfasserin aut Arigami, Takaaki verfasserin aut Uenosono, Yoshikazu verfasserin aut Nakajo, Akihiro verfasserin aut Owaki, Tetsuhiro verfasserin aut Mori, Shinichiro verfasserin aut Ishigami, Sumiya verfasserin aut Natsugoe, Shoji verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 400(2015), 6 vom: Aug., Seite 699-706 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:400 year:2015 number:6 month:08 pages:699-706 https://dx.doi.org/10.1007/s00423-015-1330-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 400 2015 6 08 699-706 |
| allfieldsGer |
10.1007/s00423-015-1330-y doi (DE-627)SPR005585848 (SPR)s00423-015-1330-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Okumura, Hiroshi verfasserin aut Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Uchikado, Yasuto verfasserin aut Matsumoto, Masataka verfasserin aut Omoto, Itaru verfasserin aut Sasaki, Ken verfasserin aut Kita, Yoshiaki verfasserin aut Arigami, Takaaki verfasserin aut Uenosono, Yoshikazu verfasserin aut Nakajo, Akihiro verfasserin aut Owaki, Tetsuhiro verfasserin aut Mori, Shinichiro verfasserin aut Ishigami, Sumiya verfasserin aut Natsugoe, Shoji verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 400(2015), 6 vom: Aug., Seite 699-706 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:400 year:2015 number:6 month:08 pages:699-706 https://dx.doi.org/10.1007/s00423-015-1330-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 400 2015 6 08 699-706 |
| allfieldsSound |
10.1007/s00423-015-1330-y doi (DE-627)SPR005585848 (SPR)s00423-015-1330-y-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Okumura, Hiroshi verfasserin aut Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 Uchikado, Yasuto verfasserin aut Matsumoto, Masataka verfasserin aut Omoto, Itaru verfasserin aut Sasaki, Ken verfasserin aut Kita, Yoshiaki verfasserin aut Arigami, Takaaki verfasserin aut Uenosono, Yoshikazu verfasserin aut Nakajo, Akihiro verfasserin aut Owaki, Tetsuhiro verfasserin aut Mori, Shinichiro verfasserin aut Ishigami, Sumiya verfasserin aut Natsugoe, Shoji verfasserin aut Enthalten in Langenbeck's archives of surgery Berlin : Springer, 1948 400(2015), 6 vom: Aug., Seite 699-706 (DE-627)253770440 (DE-600)1459390-7 1435-2451 nnns volume:400 year:2015 number:6 month:08 pages:699-706 https://dx.doi.org/10.1007/s00423-015-1330-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2339 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 400 2015 6 08 699-706 |
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Enthalten in Langenbeck's archives of surgery 400(2015), 6 vom: Aug., Seite 699-706 volume:400 year:2015 number:6 month:08 pages:699-706 |
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Enthalten in Langenbeck's archives of surgery 400(2015), 6 vom: Aug., Seite 699-706 volume:400 year:2015 number:6 month:08 pages:699-706 |
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Esophageal cancer Mediastinoscope Transhiatal esophagectomy Minimally invasive surgery |
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Langenbeck's archives of surgery |
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Okumura, Hiroshi @@aut@@ Uchikado, Yasuto @@aut@@ Matsumoto, Masataka @@aut@@ Omoto, Itaru @@aut@@ Sasaki, Ken @@aut@@ Kita, Yoshiaki @@aut@@ Arigami, Takaaki @@aut@@ Uenosono, Yoshikazu @@aut@@ Nakajo, Akihiro @@aut@@ Owaki, Tetsuhiro @@aut@@ Mori, Shinichiro @@aut@@ Ishigami, Sumiya @@aut@@ Natsugoe, Shoji @@aut@@ |
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2015-08-01T00:00:00Z |
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Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. 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|
| author |
Okumura, Hiroshi |
| spellingShingle |
Okumura, Hiroshi ddc 610 bkl 44.65 misc Esophageal cancer misc Mediastinoscope misc Transhiatal esophagectomy misc Minimally invasive surgery Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Okumura, Hiroshi |
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@@773@@(DE-627)253770440 |
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electronic Article |
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610 - Medicine & health |
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keep |
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aut aut aut aut aut aut aut aut aut aut aut aut aut |
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springer |
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true |
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Not Illustrated |
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1435-2451 |
| topic_title |
610 ASE 44.65 bkl Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer Esophageal cancer (dpeaa)DE-He213 Mediastinoscope (dpeaa)DE-He213 Transhiatal esophagectomy (dpeaa)DE-He213 Minimally invasive surgery (dpeaa)DE-He213 |
| topic |
ddc 610 bkl 44.65 misc Esophageal cancer misc Mediastinoscope misc Transhiatal esophagectomy misc Minimally invasive surgery |
| topic_unstemmed |
ddc 610 bkl 44.65 misc Esophageal cancer misc Mediastinoscope misc Transhiatal esophagectomy misc Minimally invasive surgery |
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ddc 610 bkl 44.65 misc Esophageal cancer misc Mediastinoscope misc Transhiatal esophagectomy misc Minimally invasive surgery |
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Elektronische Aufsätze Aufsätze Elektronische Ressource |
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Langenbeck's archives of surgery |
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253770440 |
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610 - Medicine & health |
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Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Okumura, Hiroshi |
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Okumura, Hiroshi Uchikado, Yasuto Matsumoto, Masataka Omoto, Itaru Sasaki, Ken Kita, Yoshiaki Arigami, Takaaki Uenosono, Yoshikazu Nakajo, Akihiro Owaki, Tetsuhiro Mori, Shinichiro Ishigami, Sumiya Natsugoe, Shoji |
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clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. |
| abstractGer |
Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. |
| abstract_unstemmed |
Purpose Mediastinoscope-assisted transhiatal esophagectomy (MATHE) is a useful surgical procedure in esophageal cancer patients who have limited indications for transthoracic operations due to preoperative complications. Methods In the last 10 years, 63 patients underwent MATHE at our department. We examined the clinical data of these patients and assessed the indications, postoperative outcomes, and prognostic factors of MATHE. Results The 5-year overall survival (OS) rate was 53.4 %, and disease-free survival (DFS) rate was 66.0 %. Postoperative complications were observed in 22 cases (34.9 %), and recurrent disease occurred in 17 cases (27.0 %). On univariate analyses of OS, location of the tumor, tumor depth, lymph node metastasis, clinical stage, simultaneous resection of other organs, postoperative pneumonia, and blood loss were significant prognostic factors. On multivariate analyses, location of the tumor and lymph node metastasis were independent prognostic factors of OS. On univariate analyses, location of the tumor, tumor depth, lymph node metastasis, clinical stage, and blood loss were significant prognostic factors of DFS, while on multivariate analyses of DFS, lymph node metastasis and blood loss were independent prognostic factors. Conclusion MATHE is a useful procedure for the middle to lower thoracic esophageal cancer patients without clinical lymph node metastasis with serious complications who were unable to undergo thoracotomy. |
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Clinical significance of mediastinoscope-assisted transhiatal esophagectomy in patients with esophageal cancer |
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Uchikado, Yasuto Matsumoto, Masataka Omoto, Itaru Sasaki, Ken Kita, Yoshiaki Arigami, Takaaki Uenosono, Yoshikazu Nakajo, Akihiro Owaki, Tetsuhiro Mori, Shinichiro Ishigami, Sumiya Natsugoe, Shoji |
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| score |
7.400302 |