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- W4294043958 abstract "Abstract Background A new approach of laparoscopic gastric dissociation in minimally invasive esophagectomy (MIE) was attempted. This study aimed to evaluate the safety and efficacy of two-port laparoscopy in McKeown procedure. Methods From August 2019 to August 2021, 206 patients with esophageal cancer underwent laparoscopic modified two-port or traditional five-port McKeown procedure in our institution. Surgical outcomes of the methods were compared. Results Of the patients, 106 (51.46%) underwent modified two-port procedure, while 100 (48.54%) underwent traditional five-port procedure. Propensity score matching produced 182 patients for comparison. The laparoscopic operative time was 48.40 ± 13.33 and 45.75 ± 10.65 min, respectively ( p = 0.140). There was no significant difference in the median number of dissected celiac lymph nodes in both groups (7.69 ± 3.37 vs. 8.56 ± 6.54, p = 0.262). The number of positive celiac lymph nodes was 0.36 ± 1.01 and 0.64 ± 1.32, respectively ( p = 0.116). Blood loss during laparoscopic surgery in the modified two-port group was similar to that in the traditional five-port group (16.87 ± 18.93 mL vs. 15.88 ± 17.62 mL, p = 0.716). The postoperative length of hospital stay was 10.21 ± 4.23 days and 10.22 ± 4.24 days, respectively ( p = 0.986). Complication rates in both groups were not significantly different (13.2% vs. 18.7%, p = 0.563). There was no significant difference in postoperative abdominal pain VAS scores between the two groups ( p > 0.05). Conclusions The modified McKeown procedure with two-port laparoscopy is a viable option for patients with esophageal cancer. Larger studies with longer follow-up duration are warranted." @default.
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- W4294043958 date "2022-09-01" @default.
- W4294043958 modified "2023-09-25" @default.
- W4294043958 title "Laparoscopic gastric dissociation using two-port approach in minimally invasive esophagectomy" @default.
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- W4294043958 doi "https://doi.org/10.21203/rs.3.rs-2003837/v1" @default.
- W4294043958 hasPublicationYear "2022" @default.
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