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Comparison of Up-Front Minimally Invasive Esophagectomy versus Open Esophagectomy on Quality of Life for Esophageal Squamous Cell Cancer

1
Department of Thoracic Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
2
Department of Orthopedics, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(1), 693-701; https://doi.org/10.3390/curroncol28010068
Received: 2 December 2020 / Revised: 2 December 2020 / Accepted: 18 January 2021 / Published: 25 January 2021
This study investigates whether minimally invasive esophagectomy (MIE) is a safe and effective way for patients with resectable esophageal cancer by comparing the short-term quality of life (QOL) after minimally invasive esophagectomy and open esophagectomy (OE). A total number of 104 patients who underwent esophagectomy from January 2013 to March 2014 were enrolled in this study. These patients were divided into two groups (MIE and OE group). Three scoring scales of quality of life were used to evaluate QOL before the operation and at the first, third, sixth and twelfth months after MIE or OE, which consist of Karnofshy performance scale (KPS), the European Organization for Research and Treatment questionnaire QLQC-30 (EORTC QLQC-30) and esophageal cancer supplement scale (OES-18). The MIE group was higher than the OE group in one-year survival rate (92.54% vs. 72.00%). Significant differences between the two groups were observed in intraoperative bleeding volume (158.53 ± 91.07 mL vs. 228.97 ± 109.33 mL, p = 0.001), and the incidence of postoperative pneumonia (33.33% vs. 58.62%, p = 0.018). The KPS of MIE group was significantly higher than the OE group at the first (80 vs. 70, p = 0.004 < 0.05), third (90 vs. 80, p = 0.006 < 0.05), sixth (90 vs. 80, p = 0.007 < 0.05) and twelfth months (90 vs. 80, p = 0.004 < 0.05) after surgery. The QLQC-30 score of MIE group was better than OE group at first and twelfth months after the operation. The OES-18 score of MIE group was significantly better than OE group at first, sixth and twelfth months after surgery. The short-term quality of life in MIE group was better than OE group. View Full-Text
Keywords: esophageal cancer; minimally invasive esophagectomy; open esophagectomy; quality of life; KPS; QLQC-30; OES-18 esophageal cancer; minimally invasive esophagectomy; open esophagectomy; quality of life; KPS; QLQC-30; OES-18
MDPI and ACS Style

Li, Z.; Cheng, J.; Zhang, Y.; Wen, S.; LV, H.; Xu, Y.; Zhu, Y.; Zhang, Z.; Mu, D.; Tian, Z. Comparison of Up-Front Minimally Invasive Esophagectomy versus Open Esophagectomy on Quality of Life for Esophageal Squamous Cell Cancer. Curr. Oncol. 2021, 28, 693-701. https://doi.org/10.3390/curroncol28010068

AMA Style

Li Z, Cheng J, Zhang Y, Wen S, LV H, Xu Y, Zhu Y, Zhang Z, Mu D, Tian Z. Comparison of Up-Front Minimally Invasive Esophagectomy versus Open Esophagectomy on Quality of Life for Esophageal Squamous Cell Cancer. Current Oncology. 2021; 28(1):693-701. https://doi.org/10.3390/curroncol28010068

Chicago/Turabian Style

Li, Zhenhua; Cheng, Jingge; Zhang, Yuefeng; Wen, Shiwang; LV, Huilai; Xu, Yanzhao; Zhu, Yonggang; Zhang, Zhen; Mu, Donghui; Tian, Ziqiang. 2021. "Comparison of Up-Front Minimally Invasive Esophagectomy versus Open Esophagectomy on Quality of Life for Esophageal Squamous Cell Cancer" Curr. Oncol. 28, no. 1: 693-701. https://doi.org/10.3390/curroncol28010068

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