caa a22 4500 47578104X CHVBK 20180406123644.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s004640000222 doi (NATIONALLICENCE)springer-10.1007/s004640000222 Minimally invasive surgical staging for esophageal cancer [Elektronische Daten] [J. Luketich, M. Median, N. Nguyen, N. Christie, T. Weigel, S. Yousem, R. Keenan, P. Schauer] Background: The incidence of esophageal adenocarcinoma is increasing in the United States, and the 5-year survival rate is dismal. Preliminary data suggest that conventional imaging is inaccurate in staging esophageal cancer and could limit accurate assessment of new treatments. The objective of this study was to compare minimally invasive surgical staging (MIS) with conventional imaging for staging esophageal cancer. Methods: Patients with potentially resectable esophageal cancer were eligible. Staging by conventional methods used computed tomography (CT) scan of the chest and abdomen, and endoscopic ultrasound (EUS), whereas MIS used laparoscopy and videothoracoscopy. Conventional staging results were compared to those from MIS. Results: In 53 patients, the following stages were assigned by CT scan and EUS: carcinoma in situ (CIS; n=1), I (n=1), II (n=23), III (n=20), IV (n=8). In 17 patients (32.1%), MIS demonstrated inaccuracies in the conventional imaging, reassigning a lower stage in 10 patients and a more advanced stage in 7 patients. Conclusions: In 32.1% of patients with esophageal cancer, MIS changed the stage originally assigned by CT scan and EUS. Therefore, MIS should be applied to evaluate the accuracy of new noninvasive imaging methods and to assess new therapies for esophageal cancer. Springer-Verlag, 2000 Esophageal cancer nationallicence Laparoscopy nationallicence Minimally invasive surgery nationallicence Staging nationallicence Thoracoscopy nationallicence Luketich J. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Median M. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Nguyen N. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Christie N. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Weigel T. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Yousem S. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Keenan R. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Schauer P. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 700-702 0930-2794 14:8<700 2000 14 464 https://doi.org/10.1007/s004640000222 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000222 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Luketich J. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Median M. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Nguyen N. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Christie N. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Weigel T. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Yousem S. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Keenan R. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Schauer P. Section of Thoracic Surgery and the Minimally Invasive Surgery Center, C-800 Presbyterian University Hospital, 200 Lothrop Street, University of Pittsburgh Medical Center, 15213, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/8(2000-08-01), 700-702 0930-2794 14:8<700 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer