OBJECTIVE: The management of @entity1893 ( @entity1893 ) of the esophagus is controversial with some clinicians advocating non-operative ablation or surveillance. Minimally invasive esophagectomy (MIE) allows re-section of the esophagus and may minimize morbidity. This report summarizes our experience with MIE for @entity1893 . METHODS: A retrospective review of 28 @entity1 who underwent MIE for a pre-operative diagnosis of @entity1893 . MIE initially involved a laparoscopic transhiatal approach (n=1), but subsequently evolved to laparoscopy with VATS mobilization (n=27) of the esophagus. RESULTS: From August 1996 to March 2001, 28 @entity1 underwent MIE. There were 23 males and five females; median age was 61 (40-78) years. Median hospital stay was 5 (3-20) days and ICU stay was 1 (1-20) day. One @entity1 required conversion to laparotomy because of dense adhesions. There were ten other @entity1 who had successful MIE despite prior laparotomy. Median operating time was 8 (5.8-13) h. One @entity204 occurred from @entity295 , @entity55 and multi-system organ failure. Complications occurred in 15 @entity1 . In addition to the @entity1 who died, five re-operations were required for: small bowel perforation (n=1), jejunostomy leak (n=1), pyloric dilation for @entity1084 (n=1), cholecystectomy (n=1), incision and drainage of an @entity6177 (n=1). Final pathologies were @entity1893 (n=17), in situ @entity5 (n=6) and invasive @entity5 (n=5). At a median follow-up of 13 (2-41) months all hospital survivors are alive and free of disease. CONCLUSIONS: This report confirms the risk of @entity5 in @entity1 with @entity1893 (39% in this series) supporting the recommendation for esophagectomy. MIE can be performed with acceptable results and may minimize morbidity compared to previous reports of open esophagectomy for @entity1893 .

Outcomes of minimally invasive esophagectomy (MIE) for XXXX of the esophagus.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity5 :: ('MESH:D009369', 'Disease') :: ['occult cancer', 'cancer'] @entity6177 :: ('MESH:D018784', 'Disease') :: ['abdominal abscess'] @entity1084 :: ('MESH:D017219', 'Disease') :: ['gastric outlet obstruction'] @entity1893 :: ('MESH:D008228', 'Disease') :: ['HGD', 'high-grade dysplasia'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1893 :: (MESH:D008228,Disease) :: ['high-grade dysplasia']
