Open, hybrid or total minimally invasive esophagectomy; a comprehensive review based on a systematic literature search

Recurrence and Survival After Minimally Invasive and Open Esophagectomy for Esophageal Cancer

“…9 Minimal invasive surgery is associated with a significant learning curve, and several studies have indicated a higher risk of anastomotic leakage and reoperation after MIE compared with after OE. [10][11][12][13][14] As such, there remains significant global heterogeneity in operative approach, with 52% of cases in the recent Esodata report being performed with an OE, 23% HMIE, and 25% TMIE. 1 Further large-scale studies are needed to determine the impact of increasing international implementation of minimally invasive approaches on shortterm outcomes after esophagectomy.…”

“…However, implementation has been limited by concerns regarding the generalizability of trial findings because they could not be confirmed in an external validation study after the nationwide implementation of minimally invasive techniques in the Netherlands 9 . Minimal invasive surgery is associated with a significant learning curve, and several studies have indicated a higher risk of anastomotic leakage and reoperation after MIE compared with after OE 10–14 . As such, there remains significant global heterogeneity in operative approach, with 52% of cases in the recent Esodata report being performed with an OE, 23% HMIE, and 25% TMIE 1 .…”