comparison of short-term outcome ofthoracoscopic-laparoscopic esophagectomy versus transhiatal esophagectomy for resectable esophageal cancer

Background: esophagectomy is performed in all patients with resectable esophageal cancer. transthoracic-laparoscopic esophagectomy (tle) is a minimally invasive method and considered to be the most appropriate method. in this study, we aim to evaluate and compare the perioperative outcome, and 1-year overall survival of tle and transhiatal esophagectomy (the) approaches. methods: in this retrospective study, we reviewed the medical records of 108 patients with esophageal cancer undergoing tle (n=44) or the (n=64) between 2015 and 2018. the patients were followed for one year. the intraoperative and postoperative findings, as well as 1-year overall-survival, were compared between the two groups. results: tle compared to the had a longer surgery duration (278.63±33.28 vs 223.28±33.99 min, p=0.001), a higher number of dissected lymph nodes (15.06±2.95 vs 10.21±2.58, p=0.001), less blood loss (345.45±178.76 vs 585.15±294.75 ml, p<0.001), and need for transfusion (20.5% vs 45.3%, p=0.006) during surgery as well as lower icu stay (2.59±0.77 vs 3.90±0.83 days, p<0.001) and ward stay (8.77±0.96 vs 11.42±1.71 days, p<0.001). the had somewhat higher complication than tle, but with no significant differences. conclusion: tle had a similar rate of complication to the approach, but with lower blood loss and lower icu and hospital stay, it is a more appropriate method for esophagectomy.