Clinical comparative study of 3D and 2D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WEI Rongqiang , CHEN Zihao , HUANG Kenan , DING Xinyu , XU Zhifei ,  TANG Hua

Minimally Invasive Thoracic Surgery Center, Changzheng Hospital, Naval Military Medical University, Shanghai, 200003, P.R.China;

Corresponding author：

TANG Hua, Email: tanghua999@smmu.edu.cn

Keywords：

Minimally invasive surgery; 3D; single-portal inflatable mediastinoscopy; esophagectomy; esophageal cancer

DOI：

10.7507/1007-4848.202003105

Video：

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Objective To investigate the safety and efficacy of 3D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer.Methods Clinical data of 28 patients, including 25 males and 3 females, aged 51-76 years, with esophageal squamous cell carcinoma undergoing single-portal inflatable mediastinoscopic and laparoscopic esophagectomy from June 2018 to June 2019 were retrospectively analyzed. Patients were divided into two groups according to different surgical methods including a 3D mediastinoscopic group (3D group, 10 patients) and a 2D mediastinoscopic group (2D group, 18 patients). The perioperative outcome of the two groups were compared.Results Compared with the 2D group, the 3D group had shorter operation time (P=0.017), more lymph nodes resected (P=0.005) and less estimated blood loss (P=0.015). There was no significant difference between the two groups in the main surgeon's vertigo and visual ghosting (P>0.05). The other aspects including the indwelling time, postoperative hospital stay, pulmonary infection, arrhythmia, anastomotic fistula, recurrent laryngeal nerve injury were not statistically significant between the two groups (P>0.05).Conclusion The 3D inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer, which optimizes the surgical procedures of 2D, is safe and feasible, and is worthy of clinical promotion in the future.

Citation： WEI Rongqiang, CHEN Zihao, HUANG Kenan, DING Xinyu, XU Zhifei, TANG Hua. Clinical comparative study of 3D and 2D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(2): 233-238. doi: 10.7507/1007-4848.202003105 Copy

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4.	Fujiwara H, Shiozaki A, Konishi H, et al. Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve. Ann Thorac Surg, 2015, 100(3): 1115-1117.
5.	Fujiwara H, Shiozaki A, Konishi H, et al. Mediastinoscope and laparoscope-assisted esophagectomy. J Vis Surg, 2016, 2: 125.
6.	Fujiwara H, Shiozaki A, Konishi H, et al. Perioperative outcomes of single-port mediastinoscope-assisted transhiatal esophagectomy for thoracic esophageal cancer. Dis Esophagus, 2017, 30(10): 1-8.
7.	Wang XJ, Li XJ, Cheng H, et al. Single-port inflatable mediastinoscopy combined with laparoscopic-assisted small incision surgery for radical esophagectomy is an effective and safe treatment for esophageal cancer. Gastrointest Surg, 2019, 23(8): 1533-1540.
8.	Charalabopoulos A, Lorenzi B, Kordzadeh A, et al. Role of 3D in minimally invasive esophagectomy. Langenbecks Arch Surg, 2017, 402(3): 555-561.
9.	Vettoretto N, Reggiani L, Cirocchi R, et al. Three-dimensional versus two-dimensional laparoscopic right colectomy: A systematic review and meta-analysis. Int J Colorectal Dis, 2018, 33(12): 1799-1801.
10.	Mori K, Aikou S, Yagi K, et al. Technical details of video-assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome. Ann Gastroenterol Surg, 2017, 1(3): 232-237.
11.	Luketich JD, Pennathur A, Franchetti Y, et al. Minimally invasive esophagectomy: results of a prospective phase Ⅱ multicenter trial-The Eastern Cooperative Oncology Group (E2202) Study. Ann Surg, 2015, 261(4): 702-707.
12.	Yerokun BA, Sun Z, Yang CJ, et al. Minimally invasive versus open esophagectomy for esophageal cancer: A population-based analysis. Ann Thorac Surg, 2016, 102(2): 416-423.
13.	Currò G, La Malfa G, Caizzone A, et al. Three-dimensional (3D) versus two-dimensional (2D) laparoscopic bariatric surgery: A single-surgeon prospective randomized comparative study. Obes Surg, 2015, 25(11): 2120-2124.
14.	Li Z, Li JP, Qin X, et al. Three-dimensional vs two-dimensional video assisted thoracoscopic esophagectomy for patients with esophageal cancer. World J Gastroenterol, 2015, 21(37): 10675-10682.
15.	Sakata S, Watson MO, Grove PM, et al. The conflicting evidence of three-dimensional displays in laparoscopy: A review of systems old and new. Ann Surg, 2016, 263(2): 234-239.
16.	Sørensen SM, Savran MM, Konge L, et al. Three-dimensional versus two-dimensional vision in laparoscopy: A systematic review. Surg Endosc, 2016, 30(1): 11-23.

1. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin, 2020, 70(1): 7-30.
3. Ikeda Y, Niimi M, Kan S, et al. Mediastinoscopic esophagectomy using carbon dioxide insufflation via the neck approach. Surgery, 2001, 129(4): 504-506.
4. Fujiwara H, Shiozaki A, Konishi H, et al. Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve. Ann Thorac Surg, 2015, 100(3): 1115-1117.
5. Fujiwara H, Shiozaki A, Konishi H, et al. Mediastinoscope and laparoscope-assisted esophagectomy. J Vis Surg, 2016, 2: 125.
6. Fujiwara H, Shiozaki A, Konishi H, et al. Perioperative outcomes of single-port mediastinoscope-assisted transhiatal esophagectomy for thoracic esophageal cancer. Dis Esophagus, 2017, 30(10): 1-8.
7. Wang XJ, Li XJ, Cheng H, et al. Single-port inflatable mediastinoscopy combined with laparoscopic-assisted small incision surgery for radical esophagectomy is an effective and safe treatment for esophageal cancer. Gastrointest Surg, 2019, 23(8): 1533-1540.
8. Charalabopoulos A, Lorenzi B, Kordzadeh A, et al. Role of 3D in minimally invasive esophagectomy. Langenbecks Arch Surg, 2017, 402(3): 555-561.
9. Vettoretto N, Reggiani L, Cirocchi R, et al. Three-dimensional versus two-dimensional laparoscopic right colectomy: A systematic review and meta-analysis. Int J Colorectal Dis, 2018, 33(12): 1799-1801.
10. Mori K, Aikou S, Yagi K, et al. Technical details of video-assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome. Ann Gastroenterol Surg, 2017, 1(3): 232-237.
11. Luketich JD, Pennathur A, Franchetti Y, et al. Minimally invasive esophagectomy: results of a prospective phase Ⅱ multicenter trial-The Eastern Cooperative Oncology Group (E2202) Study. Ann Surg, 2015, 261(4): 702-707.
12. Yerokun BA, Sun Z, Yang CJ, et al. Minimally invasive versus open esophagectomy for esophageal cancer: A population-based analysis. Ann Thorac Surg, 2016, 102(2): 416-423.
13. Currò G, La Malfa G, Caizzone A, et al. Three-dimensional (3D) versus two-dimensional (2D) laparoscopic bariatric surgery: A single-surgeon prospective randomized comparative study. Obes Surg, 2015, 25(11): 2120-2124.
14. Li Z, Li JP, Qin X, et al. Three-dimensional vs two-dimensional video assisted thoracoscopic esophagectomy for patients with esophageal cancer. World J Gastroenterol, 2015, 21(37): 10675-10682.
15. Sakata S, Watson MO, Grove PM, et al. The conflicting evidence of three-dimensional displays in laparoscopy: A review of systems old and new. Ann Surg, 2016, 263(2): 234-239.
16. Sørensen SM, Savran MM, Konge L, et al. Three-dimensional versus two-dimensional vision in laparoscopy: A systematic review. Surg Endosc, 2016, 30(1): 11-23.

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Clinical comparative study of 3D and 2D single-portal inflatable mediastinoscopic and laparoscopic esophagectomy for esophageal cancer

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