An Analysis of Outcomes After Transition From Open to Minimally Invasive Ivor Lewis Esophagectomy

BackgroundThe morbidity and mortality remain relatively high for transthoracic esophagectomy with open thoracotomy. We compared a total laparoscopic thoracoscopic minimally invasive Ivor Lewis (M-ILE) cohort propensity score–weighted of (O-ILE) cases.MethodsThis is retrospective review 259 patients diagnosed esophageal carcinoma who underwent M-ILE (n = 173) or O-ILE 86) from April 2009 to March 2019. The postoperative were reported each group. Inverse probability treatment weighting (IPTW) adjustment was used balance the baseline characteristics between study groups. Recurrence-free overall survival rates on an intention-to-treat basis.ResultsThe IPTW included 249 163) 86). rate adverse events significantly higher after in group (54.2% vs 39.02%; P .039). median hospital length stay 8.0 (interquartile range, 7.0-9.0) days 10.0 8.0-14.0) (P < .001). 3-year 64.63% (95% confidence interval, 54.7%-72.9%) 54.76% 39.9%-67.4%) .447). recurrence-free did not differ groups .461).ConclusionsThe approach demonstrated short-term clinical outcomes that superior at our institution. different carcinoma. cases. This basis. .461).