Back to Search
Start Over
Quality of Life after Open or Minimally Invasive Esophagectomy in Patients With Esophageal Cancer-A Systematic Review.
- Source :
-
Seminars in thoracic and cardiovascular surgery [Semin Thorac Cardiovasc Surg] 2017 Autumn; Vol. 29 (3), pp. 377-390. Date of Electronic Publication: 2017 Aug 24. - Publication Year :
- 2017
-
Abstract
- Although esophageal cancer is rare in the United States, 5-year survival and quality of life (QoL) are poor following esophageal cancer surgery. Although esophageal cancer has been surgically treated with esophagectomy through thoracotomy, an open procedure, minimally invasive surgical procedures have been recently introduced to decrease the risk of complications and improve QoL after surgery. The current study is a systematic review of the published literature to assess differences in QoL after traditional (open) or minimally invasive esophagectomy. We hypothesized that QoL is consistently better in patients treated with minimally invasive surgery than in those treated with a more traditional and invasive approach. Although global health, social function, and emotional function improved more commonly after minimally invasive surgery compared with open surgery, physical function and role function, as well as symptoms including choking, dysphagia, eating problems, and trouble swallowing saliva, declined for both surgery types. Cognitive function was equivocal across both groups. The potential small benefits in global and mental health status among those who experience minimally invasive surgery should be considered with caution given the possibility of publication and selection bias.<br /> (Copyright © 2017 Elsevier Inc. All rights reserved.)
- Subjects :
- Cognition
Emotions
Esophageal Neoplasms pathology
Esophageal Neoplasms physiopathology
Esophageal Neoplasms psychology
Esophagectomy adverse effects
Health Status
Humans
Minimally Invasive Surgical Procedures
Postoperative Complications physiopathology
Postoperative Complications psychology
Social Behavior
Surveys and Questionnaires
Time Factors
Treatment Outcome
Esophageal Neoplasms surgery
Esophagectomy methods
Quality of Life
Subjects
Details
- Language :
- English
- ISSN :
- 1532-9488
- Volume :
- 29
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Seminars in thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 28939239
- Full Text :
- https://doi.org/10.1053/j.semtcvs.2017.08.013