Thoraco-laparoscopic partial esophagogastrectomy has emerged as a promising minimally invasive alternative, combining thoracoscopy and laparoscopy to reduce the trauma associated with open surgery.Early and intermediate-term outcomes provide critical information on both the oncological efficacy and functional benefits of the procedure. By examining recurrence rates within the first 12-24 months, this study will provide valuable insights into the oncological robustness of this approach compared to more invasive approaches.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
1. Laparoscopic Phase: * The stomach is mobilized, and a part of it is resected to include the lower esophageal segment. * Left gastric nodes, the splenic and common hepatic nodes are dissected. * A gastric tube is created using endoscopic staplers for esophageal reconstruction and fixed to the proximal gastrectomy specimen using sutures 2. Thoracoscopic Phase: * The patient is positioned in prone position * Three small incisions are made in the thorax * Further esophageal mobilization through a right thoracoscopy is performed in left lateral decubitus. Periesophageal nodes are retrieved en bloc. Left and right paratracheal and subcarinal lymph nodes are resected separately. The esophagus is transected at the tumor's proximal margin. 3. Reconstruction: * An anastomosis (esophagogastric connection) is performed to restore continuity, typically using a circular stapler or hand-sewn technique.
Sohag Faculty of Medicine
Sohag, Egypt
Immediate Postoperative complications
30-day morbidity and mortality (using Clavien-Dindo classification)
Time frame: first month post operative
Dysphagia
yes or no
Time frame: Collected at base line preoperative,one month, and 12 months post-surgery.
resection margin status
resection margin status (R0/R1/R2)
Time frame: 2 weeks postoperative
lymph node yield.
number of lymph nodes in specimen
Time frame: first month post operative
regurgitation
yes or no
Time frame: Collected at one month, and 12 months post-surgery.
recurrence rate
Time frame: first year post operative
body mass index
Time frame: Collected at base line preoperative,one month, and 12 months post-surgery.
serum albumin
Time frame: Collected at base line preoperative,one month, and 12 months post-surgery.
ahmed m salah eldin, assistant lecturer of general
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