Mediastinoscopic esophagectomy for patients with early esophageal cancer.

Abstract:

OBJECTIVE:The purpose of this study was to detect the feasibility, safety, and effectiveness of mediastinoscopic esophagectomy for early esophageal cancer. METHODS:The clinical data of 194 patients who underwent mediastinoscopic esophagectomy for early esophageal cancer in our center from December 2005 to October 2014 were retrospectively analyzed. RESULTS:All the surgery was performed successfully. The average duration of thoracic surgery was 48.2±7.8 min and the average intra-operative blood loss was 128.1±34.5 mL. An average of 3.1±1.6 lymph node stations were dissected, with an average number of dissected lymph nodes being 9.38±6.2, among which 4.2±5.4 were mediastinal lymph nodes. No peri-operative mortality was noted, and the rate of peri-operative morbidity was 13.4%. The median duration of follow-up was 39 [3-108] months, and the overall survival was 72.73%. The overall survival rates significantly differed among different T stages; more specifically, the 5-year survival was 95.23% in patients with stage T1a esophageal cancer, 70.15% for T1b, and 55.56% for T2 (P<0.001). The overall survival was significantly better in patients with negative lymph nodes than those with lymph nodes metastasis (P=0.003); more specifically, the 5-year survival rate was 84.9% for N0, 62.5% for N1, and 50.0% for N2 + N3. CONCLUSIONS:The mediastinoscopic esophagectomy can achieve a similar effectiveness as the conventional thoracoscopic surgery for patients with early stage esophageal cancer.

journal_name

J Thorac Dis

authors

Wang QY,Li JP,Zhang L,Jiang NQ,Wang ZL,Zhang XY

doi

10.3978/j.issn.2072-1439.2015.07.20

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

1235-40

issue

7

eissn

2072-1439

issn

2077-6624

pii

jtd-07-07-1235

journal_volume

7

pub_type

杂志文章
  • Non-intercostal access for video-assisted thoracic surgery-analysis of technical advantages and disadvantages.

    abstract:Background:Video-assisted thoracoscopic surgery (VATS) lobectomy has become an accepted method for the treatment of early-stage non-small-cell lung cancer (NSCLC). The standard VATS approach is an intercostal one which is often followed by postoperative pain due to injury of the intercostal nerve. The non-intercostal t...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.09.139

    authors: Zieliński M,Gwozdz P,Wilkojc M,Kosinski S,Fryzlewicz E,Nabialek T,Pankowski J,Kwiatkowski R

    更新日期:2018-11-01 00:00:00

  • Combined thoracoscopic and laparoscopic minimally invasive esophagectomy.

    abstract::With the improvement in thoracoscopic and laparoscopic surgery, thoracoscopic and laparoscopic esophagectomy (TLE), a minimally invasive approach, has attracted increasing attention as an alternative to open three-field esophagectomy. From June 2012 to October 2013, 90 patients underwent laparoscopic and thoracoscopic...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2014.02.04

    authors: Zeng F,He B,Wang Y,Xue Y,Cong W

    更新日期:2014-02-01 00:00:00

  • Patient safety in thoracic surgery and European Society of Thoracic Surgeons checklist.

    abstract::Improving patient safety seems to be a new interesting clinical subject but, in fact, it is no new. It has to do with one of the oldest ethical principles of our profession: curing and not harming. The important research that has been done in a short period of time has brought in new insight to this complex area that ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.03.13

    authors: Novoa NM

    更新日期:2015-04-01 00:00:00

  • Preoperative evaluation for lung cancer resection.

    abstract::During the last decades lung cancer is the leading cause of death worldwide for both sexes. Even though cigarette smoking has been proved to be the main causative factor, many other agents (e.g., occupational exposure to asbestos or heavy metals, indoor exposure to radon gas radiation, particulate air pollution) have ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.03.06

    authors: Spyratos D,Zarogoulidis P,Porpodis K,Angelis N,Papaiwannou A,Kioumis I,Pitsiou G,Pataka A,Tsakiridis K,Mpakas A,Arikas S,Katsikogiannis N,Kougioumtzi I,Tsiouda T,Machairiotis N,Siminelakis S,Argyriou M,Kotsakou M,Kess

    更新日期:2014-03-01 00:00:00

  • The role of endobronchial ultrasound versus mediastinoscopy for non-small cell lung cancer.

    abstract::This review provides an update on the current role of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and mediastinoscopy (Med) in assessment of patients with non-small cell lung cancer (NSCLC). Invasive mediastinal lymph node (LN) staging is the major application for both of these techniq...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.03.102

    authors: Czarnecka-Kujawa K,Yasufuku K

    更新日期:2017-03-01 00:00:00

  • Cone beam navigation bronchoscopy: the next frontier.

    abstract::Navigation bronchoscopy has reached a new horizon in its evolution. Combining with real-time imaging modalities, such as cone-beam computed tomography (CBCT) and augmented fluoroscopy (AF), navigation success can finally be confirmed with high degree of accuracy in real-time. With utilization of this modality, additio...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.03.85

    authors: Cheng GZ,Liu L,Nobari M,Miller R,Wahidi M

    更新日期:2020-06-01 00:00:00

  • Heart rate variability as a potential diagnostic tool to predict compensatory hyperhidrosis after sympathectomy in patients with primary focal hyperhidrosis.

    abstract:Background:Primary focal hyperhidrosis (PFH) is associated with autonomic nervous activity, and studies investigating this association in patients with PFH are very important. Heart rate variability (HRV) is a simple and noninvasive electrocardiographic test showing activity and balance in the autonomic nervous system,...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-2038

    authors: Jeong SC,Kim JJ,Kim YH,Kim IS,Han JW,Moon SW

    更新日期:2020-11-01 00:00:00

  • Prognostic significance of the pattern of pathological N1 lymph node metastases for non-small cell lung cancer.

    abstract:Background:In patients with non-small cell lung cancer (NSCLC) the pathologic lymph node status N1 is a heterogeneous entity, and different forms of lymph node involvement may represent different prognoses. For methodological reasons, the 8th edition of the TNM staging system for NSCLC makes no official changes to the ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.73

    authors: Griff S,Taber S,Bauer TT,Pfannschmidt J

    更新日期:2019-08-01 00:00:00

  • Adjuvant, neoadjuvant, and definitive radiation therapy for malignant pleural mesothelioma.

    abstract::While ionizing radiotherapy (RT) can provide durable local control, the relative radiosensitivity of surrounding organs such as the lungs and heart and the distributed nature of the pleura limit the ability to safely deliver RT for patients with malignant pleural mesothelioma (MPM). Recent advances in the technologica...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.07.65

    authors: Cramer G,Simone CB 2nd,Busch TM,Cengel KA

    更新日期:2018-08-01 00:00:00

  • A study of weekly docetaxel and carboplatin as first-line chemotherapy for advanced non-small cell lung cancer.

    abstract:BACKGROUND:Weekly docetaxel demonstrated similar efficacy but better tolerability than standard triweekly docetaxel, and carboplatin was less nephrotoxic, neurotoxic and emetogenic than cisplatin. This study aimed to evaluate the efficacy and safety of weekly docetaxel with carboplatin as first-line chemotherapy for ad...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.01.24

    authors: Jiang H,Zhang X,Chen J,Zhang L,Xiong J,Zhong L,Yu F,Qian J,Yu L,Wang X,Shi G,Deng J,Xu N

    更新日期:2014-02-01 00:00:00

  • Hyperthermic intrathoracic chemotherapy after extended pleurectomy and decortication for malignant pleura mesothelioma: an observational study on outcome and microcirculatory changes.

    abstract:Background:In the treatment of malignant pleural mesothelioma the Hyperthermic Intra THOracic Chemotherapy (HITHOC) can improve the efficacy of pleurectomy and decortication with a local cytotoxic effect. However its biological impact in patient's hemodynamic and microcirculatory changes were rarely investigated. Aim o...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.01.10

    authors: Luzzi L,Franchi F,Dapoto A,Ghisalberti M,Corzani R,Marrelli D,Marchetti L,Paladini P,Scolletta S

    更新日期:2018-01-01 00:00:00

  • The diagnostic utility of endobronchial ultrasonography with a guide sheath and tomosynthesis images for ground glass opacity pulmonary lesions.

    abstract:BACKGROUND:With the widespread use of computed tomography (CT), the frequency of discovering ground glass opacity (GGO) pulmonary lesions has increased. There have been some reports on surgery or transthoracic needle aspiration (TTNA) for diagnostic sampling of GGOs but none on transbronchial biopsy (TBB). The purpose ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.11.30

    authors: Izumo T,Sasada S,Chavez C,Tsuchida T

    更新日期:2013-12-01 00:00:00

  • Heart V5 predicts cardiac events in unresectable lung cancer patients undergoing chemoradiation.

    abstract:Background:Recent studies incorporating dose escalated radiation identified heart dose as a predictor of cardiac toxicity in unresectable lung cancer patients. Whether conventionally dosed radiation impacts cardiac events remains unclear. Methods:Stage III lung cancer patients undergoing definitive chemoradiation to 6...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.06.29

    authors: Ni L,Koshy M,Connell P,Pitroda S,Golden DW,Al-Hallaq H,Hubert G,Kauffman G,McCall A,Malik R

    更新日期:2019-06-01 00:00:00

  • Resection of the sidewall of superior vena cava using video-assisted thoracic surgery mechanical suture technique.

    abstract::Lung cancer invading the superior vena cava (SVC) is a locally advanced condition, for which poor prognosis is expected with conservative treatment alone. Surgical resection of the lesion can rapidly relieve the symptoms and significantly improve survival for some patients. Replacement, repair and partial resection of...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.01.55

    authors: Xu X,Qiu Y,Pan H,Mo L,Chen H,He J

    更新日期:2016-03-01 00:00:00

  • Severity of coronary artery disease and retinal microvascular signs in patients with diagnosed versus undiagnosed diabetes: cross-sectional study.

    abstract:BACKGROUND:There is increasing evidence that a considerable proportion of patients with diabetes remain undiagnosed and untreated, however, it is unclear whether this is associated with more severe coronary artery disease (CAD) and microvasculature changes compared with diagnosed patients. We assessed CAD extent and se...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.05.61

    authors: Phan K,Mitchell P,Liew G,Plant AJ,Wang SB,Xu J,Chiha J,Thiagalingam A,Burlutsky G,Gopinath B

    更新日期:2016-07-01 00:00:00

  • Outcomes of minimally invasive sleeve resection.

    abstract:Background:Sleeve resection allows for preservation of lung parenchyma and improved long-term outcomes when compared with pneumonectomy. Little is known about minimally invasive sleeve resection, especially indications, feasibility, technical aspects, complications, and outcomes. We reviewed our institutional experienc...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.10.97

    authors: Caso R,Watson TJ,Khaitan PG,Marshall MB

    更新日期:2018-12-01 00:00:00

  • A systematic review and meta-analysis of thoracoscopic versus thoracotomy sleeve lobectomy.

    abstract:Background:Operative safety and oncologic adequacy of thoracoscopic sleeve lobectomy remain controversial. As such, the purpose of this meta-analysis was to evaluate evidence comparing thoracoscopy and thoracotomy in sleeve lobectomy for centrally located non-small cell lung cancer (NSCLC). Methods:Electronic searches...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1855

    authors: Zhong Y,Wang Y,Hu X,Wang G,She Y,Deng J,Zhang L,Peng Q,Zhu Y,Jiang G,Yang M,Xie D,Chen C

    更新日期:2020-10-01 00:00:00

  • Suberoylanilide hydroxamic acid attenuates paraquat-induced pulmonary fibrosis by preventing Smad7 from deacetylation in rats.

    abstract:BACKGROUND:Recent evidence suggests that a histone deacetylase inhibitor, suberoylanilide hydroxamic acid (SAHA), has anti-fibrotic effect. However, the exact mechanism of its anti-fibrotic potential remains is unclear. In this study, we investigated the molecular mechanism of SAHA in attenuating pulmonary fibrosis by ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.08.08

    authors: Rao SS,Zhang XY,Shi MJ,Xiao Y,Zhang YY,Wang YY,Zhang CZ,Shao SJ,Liu XM,Guo B

    更新日期:2016-09-01 00:00:00

  • Vitamin C alone does not improve treatment outcomes in mechanically ventilated patients with severe sepsis or septic shock: a retrospective cohort study.

    abstract:Background:Vitamin C has shown several beneficial effects on sepsis in preclinical studies. However, clinical data supporting these reports are scarce. This study aimed to evaluate whether adjunctive intravenous vitamin C therapy could reduce hospital mortality in patients with severe sepsis or septic shock requiring m...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.03.03

    authors: Ahn JH,Oh DK,Huh JW,Lim CM,Koh Y,Hong SB

    更新日期:2019-04-01 00:00:00

  • Anesthetic consideration for nonintubated VATS.

    abstract::In the recent decade, nonintubated-intubated video-assisted thoracoscopic surgery (VATS) has been extensively performed and evaluated. The indicated surgical procedures and suitable patient groups are steadily increasing. Perioperative anesthetic management presents itself as a fresh issue for the iatrogenic open pneu...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.01.03

    authors: Yang JT,Hung MH,Chen JS,Cheng YJ

    更新日期:2014-01-01 00:00:00

  • Tubeless video-assisted thoracoscopic surgery (VATS) under non-intubated, intravenous anesthesia with spontaneous ventilation and no placement of chest tube postoperatively.

    abstract:BACKGROUND:To assess the feasibility and safety of tubeless video-assisted thoracoscopic surgery (VATS) under non-intubated, intravenous anesthesia with spontaneous ventilation and no placement of a chest tube postoperatively compared with VATS under intubated anesthesia with single-lung mechanical ventilation. METHOD...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.08.02

    authors: Cui F,Liu J,Li S,Yin W,Xin X,Shao W,He J

    更新日期:2016-08-01 00:00:00

  • Clinical feasibility and efficacy of video-assisted thoracic surgery (VATS) anatomical resection in patients with central lung cancer: a comparison with thoracotomy.

    abstract:BACKGROUND:The aim of this study is to evaluate the clinical feasibility and efficacy of video-assisted thoracoscopic surgery (VATS) anatomical pulmonary resection in patients with central lung cancer. METHODS:Between July 2004 and December 2011, 465 patients underwent anatomical pulmonary resection and systematic med...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.10.32

    authors: Jung HS,Kim HR,Choi SH,Kim YH,Kim DK,Park SI

    更新日期:2015-10-01 00:00:00

  • Nonintubated uniportal thoracoscopic surgery for resection of lung lesions.

    abstract:BACKGROUND:Sporadic case reports have shown that wedge resection and lobectomy can be performed via nonintubated video-assisted thoracoscopic surgery (VATS) with a single incision. We report the feasibility and safety of nonintubated uniportal VATS for resection of various lung lesions. METHODS:From January 2014 to Ju...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2016.02.09

    authors: Hung WT,Hsu HH,Hung MH,Hsieh PY,Cheng YJ,Chen JS

    更新日期:2016-03-01 00:00:00

  • Precontrol of the pulmonary artery during thoracoscopic left upper lobectomy and systemic lymph node dissection.

    abstract::The main reasons of emergent conversion during thoracoscopic lobectomy included tumor invasion, hilar lymph node (LN) metastasis, and lymphoid tuberculosis. We presented a video which depicted a three-portal thoracoscopic left upper lobectomy with dissection of large LNs. Severe adhesions between a large LN and the fi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.56

    authors: Ma L,Mei J,Liu C,Liu L

    更新日期:2016-05-01 00:00:00

  • Quantitation and predictors of short-term mortality following extrapleural pneumonectomy, pleurectomy/decortication, and nonoperative management for malignant pleural mesothelioma.

    abstract:Background:For malignant pleural mesothelioma (MPM), the benefit of resection, as well as the optimal surgical technique, remain controversial. In efforts to better refine patient selection, this retrospective observational cohort study queried the National Cancer Database in an effort to quantify and evaluate predicto...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1779

    authors: Wright C,Verma V,Barsky AR,Haque W,Polamraju PV,Ludmir EB,Zaorsky NG,Lehrer EJ,Trifiletti DM,Grover S,Friedberg JS,Simone CB 2nd

    更新日期:2020-11-01 00:00:00

  • Nursing for the complete VATS lobectomy performed with non-tracheal intubation.

    abstract::Video-assisted thoracoscopic surgery (VATS) has without doubt been the most important advance in thoracic surgery. The general anesthesia before the tracheal intubation for VATS was often accompanied with tracheal mucosa and lung injuries, which were typically manifested as painful throat, nausea, vomiting, and other ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.06.35

    authors: Wang L,Wang Y,Lin S,Yin P,Xu Y

    更新日期:2014-07-01 00:00:00

  • Prognostic value of COX-2 expression in patients with non-small cell lung cancer: a systematic review and meta-analysis.

    abstract:BACKGROUND:Cyclooxygenase-2 (COX-2) has been implicated in tumorigenesis and metastasis, and it presumably mediates the proliferation of endothelial cells and promotes vascular permeability. However, the prognostic value of COX-2 overexpression in patients with non-small cell lung cancer (NSCLC) remains controversial. ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.01.02

    authors: Zhan P,Qian Q,Yu LK

    更新日期:2013-02-01 00:00:00

  • An unusual cause of dysphagia: thoracic aorta aneurysm.

    abstract::The vascular structure related compression of esophagus is rather rare. Aberrant right subclavicular artery accounts for the majority of the rare entity, while the thoracic aorta aneurysm is a more dangerous type, called as dysphagia aortica. Delay in diagnosis and treatment of the dysphagia aortica predisposes to rup...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2013.11.15

    authors: Wang WP,Yan XL,Ni YF,Zhang T,Han Y,Li XF,Lu Q

    更新日期:2013-12-01 00:00:00

  • Visceral pleural invasion in lung adenocarcinoma ≤3 cm with ground-glass opacity: a clinical, pathological and radiological study.

    abstract:BACKGROUND:Visceral pleural invasion (VPI) had been demonstrated as an aggressive sign in non-small cell lung cancers (NSCLC). However, its incidence and clinical relevance in early lung cancer showing ground glass nodules (GGNs) has not been clarified. METHODS:All consecutive surgically treated patients with solitary...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.05.90

    authors: Zhao LL,Xie HK,Zhang LP,Zha JY,Zhou FY,Jiang GN,Chen C

    更新日期:2016-07-01 00:00:00

  • Clinical course of tracheobronchopathia osteochondroplastica.

    abstract:Background:Tracheobronchopathia osteochondroplastica (TPO) is characterized by the presence of diffuse cartilaginous or bony submucosal nodules that lead to airway lumen narrowing. So far, there was no study in South Korea analysing a large number of TPO patients. We aimed to elucidate its treatment strategy and clinic...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1898

    authors: Cho HK,Jeong BH,Kim H

    更新日期:2020-10-01 00:00:00