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Article: Minimally invasive techniques for oesophageal cancer surgery

TitleMinimally invasive techniques for oesophageal cancer surgery
Authors
Keywordsminimally invasive surgery
oesophageal neoplasm
oesophagectomy
postoperative morbidity and mortality
survival
Issue Date2006
PublisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpg
Citation
Best Practice And Research: Clinical Gastroenterology, 2006, v. 20 n. 5, p. 925-940 How to Cite?
AbstractInnovative minimally invasive surgical (MIS) techniques have been explored for the purpose of oesophagectomy since the early 1990s, including various combinations of thoracoscopy, laparoscopy or laparoscopic-assisted methods, mediastinoscopy and open thoracotomy and laparotomy. The myriad of surgical approaches implies a lack of consensus on which is superior. Like open surgery, it is perhaps more important to have a tailored approach for the individual patient. MIS oesophagectomy has been shown to be feasible, and at least equivalent postoperative morbidity and mortality rates to open surgical resection have been demonstrated. Selected series have achieved less blood loss, reduction in some postoperative complications, decrease in intensive care and hospital stay, and better preservation of pulmonary function. Clear proof of superiority over conventional oesophagectomy methods however is not forthcoming since comparisons were often made with unmatched patient cohorts, and a well conducted randomized controlled trial has not been carried out. It is expected that with further improvements in instrumentation and experience, these difficult procedures may become more accessible and widely practised. © 2006 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/83608
ISSN
2015 Impact Factor: 3.897
2015 SCImago Journal Rankings: 1.406
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, Sen_HK
dc.date.accessioned2010-09-06T08:43:03Z-
dc.date.available2010-09-06T08:43:03Z-
dc.date.issued2006en_HK
dc.identifier.citationBest Practice And Research: Clinical Gastroenterology, 2006, v. 20 n. 5, p. 925-940en_HK
dc.identifier.issn1521-6918en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83608-
dc.description.abstractInnovative minimally invasive surgical (MIS) techniques have been explored for the purpose of oesophagectomy since the early 1990s, including various combinations of thoracoscopy, laparoscopy or laparoscopic-assisted methods, mediastinoscopy and open thoracotomy and laparotomy. The myriad of surgical approaches implies a lack of consensus on which is superior. Like open surgery, it is perhaps more important to have a tailored approach for the individual patient. MIS oesophagectomy has been shown to be feasible, and at least equivalent postoperative morbidity and mortality rates to open surgical resection have been demonstrated. Selected series have achieved less blood loss, reduction in some postoperative complications, decrease in intensive care and hospital stay, and better preservation of pulmonary function. Clear proof of superiority over conventional oesophagectomy methods however is not forthcoming since comparisons were often made with unmatched patient cohorts, and a well conducted randomized controlled trial has not been carried out. It is expected that with further improvements in instrumentation and experience, these difficult procedures may become more accessible and widely practised. © 2006 Elsevier Ltd. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherBailliere Tindall. The Journal's web site is located at http://www.elsevier.com/locate/bpgen_HK
dc.relation.ispartofBest Practice and Research: Clinical Gastroenterologyen_HK
dc.subjectminimally invasive surgeryen_HK
dc.subjectoesophageal neoplasmen_HK
dc.subjectoesophagectomyen_HK
dc.subjectpostoperative morbidity and mortalityen_HK
dc.subjectsurvivalen_HK
dc.titleMinimally invasive techniques for oesophageal cancer surgeryen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1521-6918&volume=20&issue=5&spage=925&epage=940&date=2006&atitle=Minimally+invasive+techniques+for+oesophageal+cancer+surgeryen_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.bpg.2006.03.011en_HK
dc.identifier.pmid16997170-
dc.identifier.scopuseid_2-s2.0-33748695972en_HK
dc.identifier.hkuros124976en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33748695972&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume20en_HK
dc.identifier.issue5en_HK
dc.identifier.spage925en_HK
dc.identifier.epage940en_HK
dc.identifier.isiWOS:000241321400010-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK

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