Meta-Analysis
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Nov 15, 2019; 11(11): 1081-1091
Published online Nov 15, 2019. doi: 10.4251/wjgo.v11.i11.1081
Efficacy of hybrid minimally invasive esophagectomy vs open esophagectomy for esophageal cancer: A meta-analysis
Jiao Yang, Ling Chen, Ke Ge, Jian-Le Yang
Jiao Yang, Ling Chen, Ke Ge, Jian-Le Yang, Department of Infectious Diseases, Zhejiang Hospital, 12 Lingyin Road, Hangzhou 310013, Zhejiang Province, China
Author contributions: Yang J contributed to idea conception, literature search, data extraction, and manuscript writing and approval; Chen L contributed to data extraction, data confirmation, and manuscript writing and approval; Ge K and Yang JL contributed to data confirmation and manuscript writing and approval.
Conflict-of-interest statement: None to declare.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jiao Yang, MD, Doctor, Department of Infectious Diseases, Zhejiang Hospital, 12 Lingyin Road, Hangzhou 310000, Zhejiang Province, China. yangjiao19890912@163.com
Telephone: +86-13516812609 Fax: +86-571-87980175
Received: February 25, 2019
Peer-review started: February 26, 2019
First decision: April 16, 2019
Revised: May 13, 2019
Accepted: August 18, 2019
Article in press: August 19, 2019
Published online: November 15, 2019
Processing time: 264 Days and 23.1 Hours
ARTICLE HIGHLIGHTS
Research background

The first line treatment regimen for esophageal cancer is still surgical resection and the choice of surgical scheme depends on the surgeon.

Research motivation

Now the efficacy comparison of hybrid minimally invasive esophagectomy (HMIE) and open esophagectomy (OE) is still controversial.

Research objectives

To compare the perioperative and postoperative outcomes of HMIE and OE in patients with esophageal cancer.

Research methods

PubMed, EMBASE, and Cochrane Library databases were searched for related articles.

Research results

Seventeen studies including a total of 2397 patients were selected. HMIE was significantly associated with less blood loss (SMD = -0.43, 95%CI: -0.66, -0.20; P = 0.0002) and lower incidence of pulmonary complications (OR = 0.72, 95%CI: 0.57, 0.90; P = 0.004).

Research conclusions

Compared with OE, HMIE shows less blood loss and pulmonary complications.

Research perspectives

Further studies are necessary to evaluate the long-term oncologic outcomes of HMIE.