Novosti
Khirurgii

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Year 2020 Vol. 28 No 6

REVIEWS

A.L. SHESTAKOV 1, A.A. BEZALTYNNYKH 2, D.V. NAREZKIN 2, A.V. SERGEEV 2, M.E. SHAKHBANOV 1, 3, I.M. TADZHIBOVA 1, T.V. PETROSYAN 1, A.G. ABDULLAEV 3, I.A. TARASOVA 1, 3, A.V. BABICH 2

CURRENT STATE OF THORACOSCOPIC SURGERY FOR BENIGN ESOPHAGEAL DISEASES

B.V.Petrovsky National Research Centre of Surgery 1, Moscow,
Smolensk State Medical University 2, Smolensk,
I.M. Sechenov First Moscow State Medical University (Sechenov University) 3, Moscow,
The Russian Federation

An analytical review of the literature on minimally invasive video-assisted endoscopic surgery for benign esophageal diseases is presented. A brief historical information of thoracoscopic esophageal surgery is given. It is noted that the advantages of video-assisted endoscopic technologies make possible to shorten the duration of treatment, reduce the rate of morbidity and mortality, which is the basis for the widespread implementation into surgical practice. The relevance of this problem was emphasized, in particular it was found that the use of thoracoscopic access for true diverticula of the thoracic esophagus is associated with minimal tissue trauma, however, with the high risk of developing specific complications. Technical aspects of surgical interventions for these diseases require the careful study. A comparative study of thoracoscopic and laparoscopic approaches during Geller’s operation for cardiac achalasia showed the advantages of the latter. Furthermore the indications for minimally invasive resection of benign esophageal tumors performed from a thoracoscopic approach should have an absolute character with assessment of risk/benefit ratios. The authors conclude that the use of minimally invasive surgical technologies in the treatment of benign esophageal diseases is promising, but the safety, clinical effectiveness and economic feasibility require further analysis.

Keywords: thoracoscopy, esophageal diverticulum, achalasia, esophagectomy
p. 730-738 of the original issue
References
  1. Lazzarino AI, Nagpal K, Bottle A, Faiz O, Moorthy K, Aylin P. Open versus minimally invasive esophagectomy: trends of utilization and associated outcomes in England. Ann Surg. 2010 Aug;252(2):292-8. doi: 10.1097/SLA.0b013e3181dd4e8c
  2. Sudarshan M, Ferri L. A critical review of minimally invasive esophagectomy. Surg Laparosc Endosc Percutan Tech. 2012 Aug;22(4):310-18. doi: 10.1097/SLE.0b013e3182582d2c
  3. Howard JM, Ryan L, Lim KT, Reynolds JV. Oesophagectomy in the management of end-stage achalasia – case reports and a review of the literature. Int J Surg. 2011;9(3):204-8. doi: 10.1016/j.ijsu.2010.11.010
  4. Ha C, Regan J, Cetindag IB, Ali A, Mellinger JD. Benign esophageal tumors. Surg Clin North Am. 2015 Jun;95(3):491-14. doi: 10.1016/j.suc.2015.02.005
  5. Palanivelu C, Rangarajan M, Madankumar MV, John SJ, Senthilkumar R. Minimally invasive therapy for benign tumors of the distal third of the esophagus--a single institute’s experience. J Laparoendosc Adv Surg Tech A. 2008 Feb;18(1):20-26. doi: 10.1089/lap.2007.0052
  6. Chikinev IuV, Drobiazgin EA, Kutepov AV, Berkasova IV. Ezofagoplastika u bol’nykh s ozhogovymi strikturami pishchevoda. Vestn Eksperim i Klin Khirurgii. 2011;4(1):57-62. (In Russ.)
  7. 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. https://www.elibrary.ru/item.asp?id=17038016 (In Russ.)
  8. Luketich JD, Schauer PR, Christie NA, Weigel TL, Raja S, Fernando HC, Keenan RJ, Nguyen NT. Minimally invasive esophagectomy. Ann Thorac Surg. 2000 Sep;70(3):906-11; discussion 911-2. doi: 10.1016/s0003-4975(00)01711-2
  9. Braimbridge MV. The history of thoracoscopic surgery. Ann Thorac Surg. 1993 Sep;56(3):610-4. doi: 10.1016/0003-4975(93)90929-c
  10. Bogopol’skii PM. Transkhiatal’naia ezofagektomiia s odnomomentnoi ezofagoplastikoi (k 70-letiiu operatsii A.G. Cavinykh). Klin i Eksperim Khirurgiia. 2014;(4):57-65. http://www.cesurg.ru/ru/jarticles_cesurg/93.html?SSr=50013377 ca17ffffffff27c__07df021211322c-4dd (In Russ.)
  11. Orringer MB, Marshall B, Chang AC, Lee J, Pickens A, Lau CL. Two thousand transhiatal esophagectomies: changing trends, lessons learned. Ann Surg. 2007 Sep;246(3):363-72; discussion 372-4. doi: 10.1097/SLA.0b013e31814697f2
  12. Stuart RC, Wyman A, Chan AW, Chung SC, Li AK. Thoracoscopic resection of oesophageal diverticulum: a case report. J R Coll Surg Edinb. 1996 Apr;41(2):118-19. https://pubmed.ncbi.nlm.nih.gov/8632384
  13. Cuschieri A. Thoracoscopic subtotal oesophagectomy. Endosc Surg Allied Technol. 1994 Feb;2(1):21-25.
  14. Gossot D, Fourquier P, Celerier M. Thoracoscopic esophagectomy: technique and initial results. Ann Thorac Surg. 1993;56(3):667-70. doi: 10.1016/0003-4975(93)90947-g
  15. Dallemagne B. Endoscopic approaches to oesophageal disease. Baillieres Clin Gastroenterol. 1993 Dec;7(4):795-22. doi: 10.1016/0950-3528(93)90016-l
  16. Watson DI, Davies N, Jamieson GG. Totally endoscopic Ivor Lewis esophagectomy. Surg Endosc. 1999 Mar;13(3):293-97. doi: 10.1007/s004649900969
  17. Yibulayin W, Abulizi S, Lv H, Sun W. Minimally invasive oesophagectomy versus open esophagectomy for resectable esophageal cancer: a meta-analysis. World J Surg Oncol. 2016 Dec 8;14(1):304. doi: 10.1186/s12957-016-1062-7
  18. Schröder W, Raptis DA, Schmidt HM, Gisbertz SS, Moons J, Asti E, Luyer MDP, Hölscher AH, Schneider PM, van Berge Henegouwen MI, Nafteux P, Nilsson M, Räsanen J, Palazzo F, Mercer S, Bonavina L, Nieuwenhuijzen GAP, Wijjnhoven BPL, Pattyn P, Grimminger PP, Bruns CJ, Gutschow CA. Anastomotic techniques and associated morbidity in total minimally invasive transthoracic esophagectomy: results from the esobenchmark database. Ann Surg. 2019 Nov;270(5):820-26. doi: 10.1097/SLA.0000000000003538
  19. Fernando HC, Luketich JD, Samphire J, Alvelo-Rivera M, Christie NA, Buenaventura PO, Landreneau RJ. Minimally invasive operation for esophageal diverticula. Ann Thorac Surg. 2005 Dec;80(6):2076-80. doi: 10.1016/j.athoracsur.2005.06.007
  20. Soares R, Herbella FA, Prachand VN, Ferguson MK, Patti MG. Epiphrenic diverticulum of the esophagus. From pathophysiology to treatment. J Gastrointest Surg. 2010 Dec;14(12):2009-15. doi: 10.1007/s11605-010-1216-9
  21. Petrovskii BV, Vantsian EN. Divertikuly pishchevoda. Moscow, RF: Meditsina; 1968. 183 p. (In Russ.)
  22. Myers BS, Dempsey DT. Laparoscopic resection of esophageal epiphrenic diverticulum. J Laparoendosc Adv Surg Tech A. 1998 Aug;8(4):201-7. doi: 10.1089/lap.1998.8.201
  23. Cross FS, Johnson GF, Gerein AN. Esophageal diverticula. Associated neuromuscular changes in the esophagus. Arch Surg. 1961 Oct;83:525-33. doi: 10.1001/archsurg.1961.01300160037005
  24. Altorki NK, Sunagawa M, Skinner DB. Thoracic esophageal diverticula. Why is operation necessary? J Thorac Cardiovasc Surg. 1993 Feb;105(2):260-64. doi: 10.1016/S0022-5223(19)33810-3
  25. Herbella FA, Patti MG. Modern pathophysiology and treatment of esophageal diverticula. Langenbecks Arch Surg. 2012 Jan;397(1):29-35. doi: 10.1007/s00423-011-0843-2
  26. Zaninotto G, Portale G, Costantini M, Merigliano S, Guirroli E, Rizzetto C, Rampado S, Ancona E. Long-term outcome of operated and unoperated epiphrenic diverticula. J Gastrointest Surg. 2008 Sep;12(9):1485-90. doi: 10.1007/s11605-008-0570-3
  27. Agarwal V, Singh SK, Siddiqi MS, Joshi LM, Tandon S. Esophagopleural fistula following spontaneous rupture of traction diverticulum. Asian Cardiovasc Thorac Ann. 2003 Dec;11(4):344-45. doi: 10.1177/021849230301100416
  28. Bagirov M, Vereshchako R, Agaev A. Khirurgicheskoe lechenie epifrenal’nogo divertikula pishchevoda. Kh³rurg³ia Ukra¿ni. 2014;(3):10-16.
    http://www.surgukraine.vitapol.com.ua/svizhij_nomer.php?nid=51 (In Russ.)
  29. Macke RA, Luketich JD, Pennathur A, Bianco V, Awais O, Gooding WE, Christie NA, Schuchert MJ, Nason KS, Levy RM. Thoracic Esophageal Diverticula: A 15-Year Experience of Minimally Invasive Surgical Management. Ann Thorac Surg. 2015 Nov;100(5):1795-802. doi: 10.1016/j.athoracsur.2015.04.122
  30. Eroglu A, Aydin Y, Altuntas B. A Minimally Invasive Surgery for Thoracic Esophageal Diverticula. Ann Thorac Surg. 2016 Sep;102(3):1027. doi: 10.1016/j.athoracsur.2015.12.040
  31. Bowman TA, Sadowitz BD, Ross SB, Boland A, Luberice K, Rosemurgy AS. Heller myotomy with esophageal diverticulectomy: an operation in need of improvement. Surg Endosc. 2016 Aug;30(8):3279-88. doi: 10.1007/s00464-015-4655-2
  32. Andrási L, Paszt A, Simonka Z, Ábrahám S, Rosztóczy A, Lázár G. Laparoscopic Surgery for Epiphrenic Esophageal Diverticulum. JSLS. 2018 Apr-Jun;22(2):e2017.00093. doi: 10.4293/JSLS.2017.00093
  33. Palanivelu C, Rangarajan M, Senthilkumar R, Velusamy M. Combined thoracoscopic and endoscopic management of mid-esophageal benign lesions: use of the prone patient position : Thoracoscopic surgery for mid-esophageal benign tumors and diverticula. Surg Endosc. 2008 Jan;22(1):250-54. doi: 10.1007/s00464-007-9359-9
  34. Fumagalli Romario U, Ceolin M, Porta M, Rosati R. Laparoscopic repair of epiphrenic diverticulum. Semin Thorac Cardiovasc Surg. 2012 Autumn;24(3):213-17. doi: 10.1053/j.semtcvs.2012.10.003
  35. Hirano Y, Takeuchi H, Oyama T, Saikawa Y, Niihara M, Sako H, Omagari K, Nishi T, Suzuki H, Hibi T, Kitagawa Y. Minimally invasive surgery for esophageal epiphrenic diverticulum: the results of 133 patients in 25 published series and our experience. Surg Today. 2013 Jan;43(1):1-7. doi: 10.1007/s00595-012-0386-3
  36. Sazhin AV, Lebedev IS, Son DA, . Shuljak GD. Laparoscopic transhiatal epiphrenic esophageal diverticulectomy. Endoskop Khirurgiia. 2018;24(3):38-42. doi: 10.17116/endoskop201824338 . (In Russ.)
  37. Achim V, Aye RW, Farivar AS, Vallières E, Louie BE. A combined thoracoscopic and laparoscopic approach for high epiphrenic diverticula and the importance of complete myotomy. Surg Endosc. 2017 Feb;31(2):788-94. doi: 10.1007/s00464-016-5033-4
  38. Tapias LF, Morse CR, Mathisen DJ, Gaissert HA, Wright CD, Allan JS, Lanuti M. Surgical management of esophageal epiphrenic diverticula: a transthoracic approach over four decades. Ann Thorac Surg. 2017 Oct;104(4):1123-1130. doi: 10.1016/j.athoracsur.2017.06.017
  39. Caso R, Chang H, Marshall MB. Evolving Options in Management of Minimally Invasive Diverticular Disease: A Single Surgeon’s Experience and Review of the Literature. J Laparoendosc Adv Surg Tech A. 2019 Jun;29(6):780-84. doi: 10.1089/lap.2018.0711
  40. Balci B, Kilinc G, Calik B, Akbulut G. Robotic-Assisted Transthoracic Esophageal Diverticulectomy. JSLS. 2018 Apr-Jun;22(2):e2018.00002. doi: 10.4293/JSLS.2018.00002
  41. Kim S, Cho JH. The abdominal approach for epiphrenic esophageal diverticulum as an alternative to the thoracic approach. Korean J Thorac Cardiovasc Surg. 2019 Aug;52(4):227-31. doi: 10.5090/kjtcs.2019.52.4.227
  42. Kang DK. Single-port video-assisted thoracoscopic surgery for a huge epiphrenic esophageal diverticulum. J Thorac Dis. 2017 Jan;9(1):E10-E13. doi: 10.21037/jtd.2017.01.29
  43. Francis DL, Katzka DA. Achalasia: update on the disease and its treatment. Gastroenterology. 2010 Aug;139(2):369-74. doi: 10.1053/j.gastro.2010.06.024
  44. Luketich JD, Landreneau RJ, Pennathur A. Master Techniques in Surgery: Esophageal Surgery. 1st ed. Lippincott Williams & Wilkins, 2014. 456 ð.
  45. Gaissert HA, Lin N, Wain JC, Fankhauser G, Wright CD, Mathisen DJ. Transthoracic Heller myotomy for esophageal achalasia: analysis of long-term results. Ann Thorac Surg. 2006 Jun;81(6):2044-49. doi: 10.1016/j.athoracsur.2006.01.039
  46. 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. Ann Surg. 2009 Jan;249(1):45-57. doi: 10.1097/SLA.0b013e31818e43ab
  47. Allaix ME, Patti MG. Heller myotomy for achalasia. From the open to the laparoscopic approach. World J Surg. 2015 Jul;39(7):1603-7. doi: 10.1007/s00268-014-2914-3
  48. Deschamps C. Laparoscopic myotomy and fundoplication for achalasia. Semin Thorac Cardiovasc Surg. 2010 Summer;22(2):184-86. doi: 10.1053/j.semtcvs.2010.09.003
  49. Vaezi MF, Richter JE. Current therapies for achalasia: comparison and efficacy. J Clin Gastroenterol. 1998 Jul;27(1):21-35. doi: 10.1097/00004836-199807000-00006
  50. Wang L, Li YM, Li L. Meta-analysis of randomized and controlled treatment trials for achalasia. Dig Dis Sci. 2009 Nov;54(11):2303-11. doi: 10.1007/s10620-008-0637-8
  51. DePaula AL, Hashiba K, Ferreira EA, de Paula RA, Grecco E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endosc. 1995 Feb;5(1):1-5. https://journals.lww.com/surgical-laparoscopy/Abstract/1995/02000
  52. Allakhverdyan AS, Mazurin VS, Frolov AV, Anipchenko NN. Opportunities of laparoscopy in the treatment of esophageal achalasia. Almanac of Clinical Medicine. 2015;(40):109-116. doi: 10.18786/2072-0505-2015-40-109-116 (In Russ.)
  53. Chernousov AF, Khorobrykh TV, Vetshev FP, Melent’ev AA, Osminin SV. Esophageal achalasia and cardiospasm – contemporary principles of treatment. Annaly Khirurgii. 2012;(3):5-10. https://cyberleninka.ru/article/n/ahalaziya-kardii-i-kardiospazm-sovremennye-printsipy-lecheniya (In Russ.)
  54. Masabni K, Kandagatla P, Popoff AM, Rubinfeld I, Hammoud Z. Is esophagectomy for benign conditions benign? Ann Thorac Surg. 2018 Aug;106(2):368-74. doi: 10.1016/j.athoracsur.2018.03.047
Address for correspondence:
241019, Russian Federation,
Smolensk, Krupskaja Str., 28,
Smolensk State Medical University,
the Hospital Surgery Departmentr,
tel. +7 915 645-15-04,
e-mail: bezaltyna@yahoo.com,
Bezaltynnykh Alexander A.
Information about the authors:
Shestakov Alexey L., MD, Head of the Department of Thoracoabdominal Surgery and Oncology, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky,Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/0000-0003-3387-7442
Bezaltynnykh Alexander A., PhD, Associate Professor, the Hospital Surgery Department, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0001-5629-1538
Narezkin Dmitry V., MD, Professor, Head of the Hospital Surgery Department , Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0003-2710-1728
Sergeev Alexey V., PhD, Associate Professor, the Hospital Surgery Department, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0002-0437-9551
Shakhbanov Magomed E., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky, Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/0000-0001-9522-9251
Tadzhibova Ireykhan M., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, B.V.Petrovsky National Research Centre of Surgery, Moscow, Russian Federation.
http://orcid.org/0000-0003-2076-5302
Petrosyan Tatyana V., Post-Graduate Student, the Department of Thoracic-Abdominal Surgery and Oncolody, Russian Scientific Center for Surgery named after acad. B.V. Petrovsky, Moscow, Russian Federation, Moscow, Russian Federation.
http://orcid.org/
Abdullaev Abdulla G., MD, Professor of the Hospital Surgery Department, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
http://orcid.org/0000-0002-4264-4483
Tarasova Irina A., PhD, Assistant of the Hospital Surgery Department, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.
http://orcid.org/0000-0001-9344-7351
Babich Andrey V., Student, Smolensk State Medical University, Smolensk, Russian Federation.
http://orcid.org/0000-0001-6269-6283
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