Abstract: |
Minimally invasive esophagectomy (MIE) is now an accepted surgical approach for esophageal malignancy and the occasional benign conditions. Meta-analyses evaluating the results of MIE have shown improved perioperative outcomes and similar oncologic outcomes when compared to open esophagectomy with the advantages of minimally invasive surgery. MIE techniques are now a combination of laparoscopy and thoracoscopy for a totally minimally invasive esophagectomy. While this approach is technically demanding and associated with a significant learning curve, it is an excellent option for esophageal resection. In our experience, MIE is associated with a reduction in blood loss, decreased respiratory complications, lower mortality, improved pain control, and a decrease in hospital length of stay. © Springer International Publishing Switzerland 2015. |