Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis

Abstract Purpose Minimally invasive oesophagectomy is a technically demanding procedure, and the learning curve for this procedure should be explored. A survival analysis should also be performed. Methods A total of 214 consecutive patients who underwent minimally invasive oesophagectomy were retros...

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Autores principales:	Yunpeng Zhao, Lei Shan, Chuanliang Peng, Bo Cong, Xiaogang Zhao
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Oesophageal surgery Minimally invasive surgery Thoracoscopy Survival analysis Surgery RD1-811 Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/c80a78ed1ca6471cb71992a7f71ad424
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spelling	oai:doaj.org-article:c80a78ed1ca6471cb71992a7f71ad4242021-11-14T12:33:53ZLearning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis10.1186/s13019-021-01712-71749-8090https://doaj.org/article/c80a78ed1ca6471cb71992a7f71ad4242021-11-01T00:00:00Zhttps://doi.org/10.1186/s13019-021-01712-7https://doaj.org/toc/1749-8090Abstract Purpose Minimally invasive oesophagectomy is a technically demanding procedure, and the learning curve for this procedure should be explored. A survival analysis should also be performed. Methods A total of 214 consecutive patients who underwent minimally invasive oesophagectomy were retrospectively reviewed. To evaluate the development of thoracoscopic-laparoscopic oesophagectomy and compare mature minimally invasive oesophagectomy and open oesophagectomy, we comprehensively studied the clinical and surgical parameters. The cumulative sum (CUSUM) plot was used to evaluate the learning curve for systemic lymphadenectomy. Cox proportional hazards regression analysis was performed to explore the clinical factors affecting survival. Results The bleeding volume, operation time, and postoperative mortality within 3 months significantly decreased after 20 patients. The rise point for node dissection was visually determined to occur at patient 57 in the CUSUM plots. Patients who underwent mature thoracoscopic-laparoscopic oesophagectomy had better surgical data and short-term benefits than patients who underwent an open procedure. Cox proportional hazards regression analysis showed that the maximum diameter of the tumour cross-sectional area and the number of positive nodes significantly influenced survival. Conclusions The results suggest that thoracoscopic-laparoscopic oesophagectomy has short-term benefits. There was no evidence that it was associated with a significantly better prognosis for patients with oesophageal cancer. ClinicalTrials Gov ID: NCT04217239; January 2, 2020 retrospectively registered.Yunpeng ZhaoLei ShanChuanliang PengBo CongXiaogang ZhaoBMCarticleOesophageal surgeryMinimally invasive surgeryThoracoscopySurvival analysisSurgeryRD1-811AnesthesiologyRD78.3-87.3ENJournal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Oesophageal surgery Minimally invasive surgery Thoracoscopy Survival analysis Surgery RD1-811 Anesthesiology RD78.3-87.3
spellingShingle	Oesophageal surgery Minimally invasive surgery Thoracoscopy Survival analysis Surgery RD1-811 Anesthesiology RD78.3-87.3 Yunpeng Zhao Lei Shan Chuanliang Peng Bo Cong Xiaogang Zhao Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
description	Abstract Purpose Minimally invasive oesophagectomy is a technically demanding procedure, and the learning curve for this procedure should be explored. A survival analysis should also be performed. Methods A total of 214 consecutive patients who underwent minimally invasive oesophagectomy were retrospectively reviewed. To evaluate the development of thoracoscopic-laparoscopic oesophagectomy and compare mature minimally invasive oesophagectomy and open oesophagectomy, we comprehensively studied the clinical and surgical parameters. The cumulative sum (CUSUM) plot was used to evaluate the learning curve for systemic lymphadenectomy. Cox proportional hazards regression analysis was performed to explore the clinical factors affecting survival. Results The bleeding volume, operation time, and postoperative mortality within 3 months significantly decreased after 20 patients. The rise point for node dissection was visually determined to occur at patient 57 in the CUSUM plots. Patients who underwent mature thoracoscopic-laparoscopic oesophagectomy had better surgical data and short-term benefits than patients who underwent an open procedure. Cox proportional hazards regression analysis showed that the maximum diameter of the tumour cross-sectional area and the number of positive nodes significantly influenced survival. Conclusions The results suggest that thoracoscopic-laparoscopic oesophagectomy has short-term benefits. There was no evidence that it was associated with a significantly better prognosis for patients with oesophageal cancer. ClinicalTrials Gov ID: NCT04217239; January 2, 2020 retrospectively registered.
format	article
author	Yunpeng Zhao Lei Shan Chuanliang Peng Bo Cong Xiaogang Zhao
author_facet	Yunpeng Zhao Lei Shan Chuanliang Peng Bo Cong Xiaogang Zhao
author_sort	Yunpeng Zhao
title	Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
title_short	Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
title_full	Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
title_fullStr	Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
title_full_unstemmed	Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
title_sort	learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/c80a78ed1ca6471cb71992a7f71ad424
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Learning curve for minimally invasive oesophagectomy of oesophageal cancer and survival analysis

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