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Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Bitarov T.T.

Petrovsky Russian Research Centre of Surgery

Boeva I.A.

Petrovsky Russian Scientific Center of Surgery

Bezaltynnykh A.A.

Petrovsky Russian Scientific Center of Surgery

Oettinger A.P.

Pirogov Russian National Research Medical University

Thoracoscopic esophagectomy in end-stage esophageal motility disorders

Authors:

Shestakov A.L., Tarasova I.A., Tskhovrebov A.T., Bitarov T.T., Boeva I.A., Bezaltynnykh A.A., Oettinger A.P.

More about the authors

Journal: Russian Journal of Evidence-Based Gastroenterology. 2021;10(4): 30‑37

DOI: 10.17116/dokgastro20211004130

Read: 1926 times

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Table of contents

THORACOSCOPIC ESOPHAGECTOMY IN END-STAGE ESOPHAGEAL MOTILITY DISORDERS
THORACOSCOPIC ESOPHAGECTOMY IN END-STAGE ESOPHAGEAL MOTILITY DISORDERS

To cite this article:

Shestakov AL, Tarasova IA, Tskhovrebov AT, Bitarov TT, Boeva IA, Bezaltynnykh AA, Oettinger AP. Thoracoscopic esophagectomy in end-stage esophageal motility disorders. Russian Journal of Evidence-Based Gastroenterology. 2021;10(4):30‑37. (In Russ.)
https://doi.org/10.17116/dokgastro20211004130

Подписка 2026 Доказательная гастроэнтерология (Russian Journal of Evidence-Based Gastroenterology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Thoracoscopic surgery is increasingly used in the treatment of severe esophageal motility disorders.

OBJECTIVE

To compare the treatment results of thoracoscopic and open subtotal esophageal resection with cervical esophagogastric anastomosis in patients with severe esophageal motility disorders.

MATERIAL AND METHODS

This is a single-center, non-randomized, comparative study. The inclusion criteria were the diagnosis of achalasia and grade IV cardiospasm with megaesophagus, high risk of aspiration, and severe dysphagia. The study included 25 patients, divided into two groups: thoracoscopic subtotal resection with esophagoplasty was performed in 13 patients (group 1) and open surgery in 12 (group 2). In addition, operation duration, the frequency of conversion, blood loss, ICU and hospital length of stay were studied. Complications were classified according to Clavien-Dindo.

RESULTS

Duration of the transchiatal surgery was significantly shorter compared with thoracoscopy (p=0.028) and thoracotomy (p=0.015). ICU length of stay in group 1 was twofold shorter than in group 2 (p=0.013). Hospital length of stay in group 1 was shorter than in group 2 (p=0.003). Less respiratory complications were recorded in group 1 (p=0.027); there were no significant differences for other complications (surgical site infection, arrhythmia, anastomotic leakage). There were no lethal outcomes in both groups.

CONCLUSIONS

Thoracoscopic surgery has several advantages in the treatment of severe esophageal motility disorders. Therefore, it should be included in the arsenal of modern esophageal surgery, although further high-quality studies are needed to confirm its benefits.

Keywords:

esophageal achalasia
esophagoplasty
thoracotomy
thoracoscopy
esophageal motility disorders

Authors:

Shestakov A.L.

Petrovsky Russian Research Center of Surgery

Tarasova I.A.

Petrovsky Russian Scientific Center of Surgery

Tskhovrebov A.T.

Petrovsky Russian Research Centre of Surgery

Bitarov T.T.

Petrovsky Russian Research Centre of Surgery

Boeva I.A.

Petrovsky Russian Scientific Center of Surgery

Bezaltynnykh A.A.

Petrovsky Russian Scientific Center of Surgery

Oettinger A.P.

Pirogov Russian National Research Medical University

Received:

12.08.2021

Accepted:

03.10.2021

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References:

  1. Mormando J, Barbetta A, Molena D. Esophagectomy for benign disease. Journal of Thoracic Disease. 2018;10(3):2026-2033. https://doi.org/10.21037/jtd.2018.01.165
  2. Shestakov AL, Chernousov FA, Pastukhov DV. Surgical treatment of the benign diseases of the esophagus. Khirurgiya. Zhurnal im. N.I. Pirogova. 2013;5:36-39. (In Russ.).
  3. Gasanov AM, Aliev NA, Danielyan ShN. Esophageal achalasia.Khirurgiya. Zhurnal im. N.I. Pirogova. 2019;2:72-77. (In Russ.). https://doi.org/10.17116/hirurgia201902172
  4. Sadowski D, Ackah F, Jiang B, Svenson L. Achalasia: incidence, prevalence and survival. A population‐based study. Neurogastroenterology and Motility. 2010;22(9):256-261.  https://doi.org/10.1111/j.1365-2982.2010.01511.x
  5. Oude Nijhuis RAB, Zaninotto G, Roman S, Boeckxstaens GE, Fockens P, Langendam MW, Plumb AA, Smout A, Targarona EM, Trukhmanov AS, Weusten B, Bredenoord AJ. European guidelines on achalasia: United European Gastroenterology and European Society of Neurogastroenterology and Motility recommendations. United European Gastroenterology Journal. 2020;8(1):13-33.  https://doi.org/10.1177/2050640620903213
  6. Chernousov AF, Horobryh TV, Vetshev FP, Melent’ev AA, Osminin SV. Esophageal achalasia and cardiospasm — contemprorary priciples of treatment. Annaly khirurgii. 2012;3:5-10. (In Russ.).
  7. Godzhello EA, Khrustaleva MV, Bulganina NA, Shatveryan DG, Dekhtyar MA. Endoscopic Balloon Dilation for Achalasia in the Era of Peroral Endoscopic Myotomy (POEM). Thirty years’ experience. Eksperimental’naya i klinicheskaya gastroenterologiya. 2019;4:105-110. (In Russ.). https://doi.org/10.31146/1682-8658-ecg-164-4-105-110
  8. Gastroenterologiya. Nacional’noe rukovodstvo: Kratkoe izdanie. Pod red. Ivashkina V.T., Lapinoy T.L. M.: GEOTAR-Media; 2012. (In Russ.).
  9. Galliamov EA, Erin SA, Agapov MA, Gorbacheva IV, Yurkyliev NA, Gololobov GYu, Gadlevskiy GS, Kosyakov NA, Chicherina MA, Burmistrov AI, Sarukhanyan IG. Achalasia: diagnostic features and effective treatment methods. Review. Hirurgicheskaya praktika. 2020;3:36-43. (In Russ.). https://doi.org/10.38181/2223-2427-2020-3-36-43
  10. Anishchenko VV, Kovgan YM, Kim DA. Review of options of therapeutic tactics in achalasia stage IV: cardioplasty or extirpation. Mezhdunarodnyj nauchno-issledovatel’skij zhurnal. 2016;54(12):63-67. (In Russ.). https://doi.org/10.18454/IRJ.2016.54.064
  11. Farrukh A, Mayberry J. Achalasia: an epidemiology update. Esophagus. 2015;12(2):170-174.  https://doi.org/10.1007/s10388-014-0475-z
  12. Howard JM, Ryan L, Lim KT, Reynolds JV. Oesophagectomy in the management of end-stage achalasia — Case reports and a review of the literature. International Journal of Surgery. 2011; 9(3):204-208.  https://doi.org/10.1016/j.ijsu.2010.11.010
  13. Luketich JD, Pennathur A, Awais O, Levy RM, Keeley S, Shende M, Christie NA, Weksler B, Landreneau RJ, Abbas G, Schuchert MJ, Nason KS. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Annals of Surgery. 2012;256(1):95-103.  https://doi.org/10.1097/SLA.0b013e3182590603
  14. Francis DL, Katzka DA. Achalasia: update on the disease and its treatment. Gastroenterology. 2010;139(2):369-374.  https://doi.org/10.1053/j.gastro.2010.06.024
  15. Allahverdjan AS, Frolov AV, Anipchenko NN. Video endoscopic operations in the treatment of achalasia of the cardia. Vestnik hirurgicheskoj gastrojenterologii. 2016;(3):4. (In Russ.).
  16. Chernousov AF, Andrianov VA, Gadzhiev AN, Ruchkin DV. Surgical treatment of neuromuscular diseases of the esophagus. Annaly hirurgii. 2001;1:35-38. (In Russ.).
  17. Chernousov AF, Bogopol’skij PM, Kurbanov FS. Hirurgija pishhevoda. M.: Medicina; 2000. (In Russ.).
  18. Molena D, Yang SC. Surgical management of end-stage achalasia. Seminars in Thoracic and Cardiovascular Surgery. 2012;24(1):19-26.  https://doi.org/10.1053/j.semtcvs.2012.01.015
  19. Chikinev YV, Drobjazgin EA, Berkasova IV, Korobeinikov AV, Kutepov AV. Extirpation of Gullet with one-stage esophagoplastyc at its benign diseases. Sibirskiy nauchnyi medicinskiy zhurnal. 2009;140(6):5-9. (In Russ.).
  20. Chikinev YV, Drobjazgin EA, Maslov AV, Korobeinikov AV. Videoassistens Extirpation Esophageal in benign diseases. Vestnik khirurgicheskoi gastroenterologii. 2010;4:46-51. (In Russ.).
  21. DePaula AL, Hashiba K, Ferreira E, Grecco E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surgical Laparoscopy and Endoscopy. 1995;5(1):1-5. 
  22. Crema E, Júnior JAT, Terra GA, Teles CJO, Silva AA. Minimally invasive esophagectomy in achalasia: a more liberal approach to esophageal resection. Mini-invasive Surgery. 2017;1:160-166.  https://doi.org/10.20517/2574-1225.2017.26
  23. Schuchert MJ, Luketich JD, Landreneau RJ, Kilic A, Wang Y, Alvelo-Rivera M, Christie NA, Gilbert S, Pennathur A. Minimally invasive surgical treatment of sigmoidal esophagus in achalasia. Journal of Gastrointestinal Surgery. 2009;13(6):1029-1035. https://doi.org/10.1007/s11605-009-0843-5
  24. Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstätter M, Lin F, Ciovica R. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Annals of Surgery. 2009;249(1):45-57.  https://doi.org/10.1097/SLA.0b013e31818e43ab
  25. Bonavina L, Asti E, Sironi A, Bernardi D, Aiolfi A. Hybrid and total minimally invasive esophagectomy: how I do it. Journal of Thoracic Disease. 2017;9(suppl 8):761-772.  https://doi.org/10.21037/jtd.2017.06.55
  26. Mariyko VA, Nechai VS, Titov VN, Kuznetsov VV, Dorofeyev DA. Esophagectomy in patients with burn strictures of the esophagus. Annaly khirurgii. 2005;4:22-26. (In Russ.).
  27. Luketich JD, Schauer PR, Christie NA, Weigel TL, Raja S, Fernando HC, Keenan RJ, Nguyen NT. Minimally invasive esophagectomy. Annals of Thoracic Surgery. 2000;70(3):906-911.  https://doi.org/10.1016/s0003-4975(00)01711-2
  28. Nguyen NT, Roberts P, Follette DM, Rivers R, Wolfe BM. Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures. Journal of the American College of Surgeons. 2003;197(6):902-913.  https://doi.org/10.1016/j.jamcollsurg.2003.07.005
  29. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of Surgery. 2004;240(2):205-213.  https://doi.org/10.1097/01.sla.0000133083.54934.ae
  30. Shestakov AL, Tarasova IA, Tskhovrebov AT, Boeva IA, Bitarov TT, Bezaltynnykh AA, Shakhbanov ME, Dergunova AP, Vasilyva ES. Reconstructive esophageal surgery in fast track epoch. Khirurgiya. Zhurnal im. N.I. Pirogova. 2021;(6-2):73-83. (In Russ.). https://doi.org/10.17116/hirurgia202106273
  31. Tarasova IA, Tskhovrebov AT, Nikoda VV, Shestakov AL. Implementation of Enhanced Recovery after Surgery (ERAS) protocol in patients after esophagectomy (analytical review). Klinicheskaya i eksperimental’naya hirurgiya. 2017;5(2):83-92. (In Russ.). https://doi.org/10.24411/2308-1198-2017-00038
  32. Bogopolsky PM. Transhiatal esophagectomy with simultaneous esophagoplasty (to the 70th anniversary of the A.G. Savinykh operation). Klinicheskaya i eksperimental’naya hirurgiya. 2014;4(6):57-65. (In Russ.).
  33. Orringer MB, Sloan H. Esophagectomy without thoracotomy. The Journal of Thoracic and Cardiovascular Surgery. 1978;76(5): 643-654.  https://doi.org/10.1016/S0022-5223(19)41012-X
  34. Orringer MB, Marshall B, Chang AC, Lee J, Pickens A, Lau CL. Two thousand transhiatal esophagectomies: changing trends, lessons learned. Annals of Surgery. 2007;246(3):363-374.  https://doi.org/10.1097/SLA.0b013e31814697f2
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