Evidence map›Paper›PMID 42310199›Full record

ArticleSurgical endoscopy2026

Comparison of minimally invasive single-position left transthoracic and esophageal hiatal approach versus laparoscopic transesophageal hiatus approach for Siewert type II adenocarcinoma of the esophagogastric junction.

Haitao Wei, Mengyao Wang, Nuo Xu, Zuyuan Zhao, Baoli Hu, Xiapeng Li, Minhui Li, Li Li

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Haitao Wei *Department of Thoracic Surgery, Huaihe Hospital, Henan University, Kaifeng, 475099, Henan, China.
Mengyao Wang *Institute of Chronic Diseases, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Nuo XuInstitute of Chronic Diseases, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
Zuyuan ZhaoSchool of Clinical Medicine, Chengdu Medical College, Chengdu, 610500, China.
Baoli HuDepartment of Thoracic Surgery, Huaihe Hospital, Henan University, Kaifeng, 475099, Henan, China.
Xiapeng LiDepartment of Thoracic Surgery, Huaihe Hospital, Henan University, Kaifeng, 475099, Henan, China.
Minhui LiResearch and Experimental Center, Chengdu Medical College, Chengdu, 610500, China. wmy8212@henu.edu.cn.
Li LiDepartment of Thoracic Surgery, Huaihe Hospital, Henan University, Kaifeng, 475099, Henan, China. 10210051@vip.henu.edu.cn.ORCID http://orcid.org/0000-0002-4602-8979

Funding

Henan Provincial Health Science and Technology Research Project 23ZDYF006Henan Provincial Science and Technology Research Project 262102310195Henan Provincial Science and Technology Research Project 262102310203Key Scientific Research Project of Colleges and Universities in Henan Province 24A320002Key Scientific Research Project of Colleges and Universities in Henan Province 25B320018
6 · The paper itself

Abstract

objectiveTo explore the validity and feasibility of a minimally invasive single-position left transthoracic and esophageal hiatal approach for Siewert type II adenocarcinoma of the esophagogastric junction.

methodsClinical data of 196 patients with Siewert type II AEG treated by the same surgical team from January 2017 to December 2019 at our institution were retrospectively analyzed. Patients were categorized into the minimally invasive single-position left transthoracic and esophageal hiatal approach (SLTEA) group (n = 106) and the minimally invasive laparoscopic transesophageal hiatus approach (LTHA) group (n = 90) according to the surgical approach, and the clinical data, perioperative indices, and postoperative survival rates of the two groups were compared.

resultsThe SLTEA group had shorter surgical time, first ambulation time after surgery, first postoperative intestinal peristalsis time, and postoperative hospital stay than the LTHA group (P < 0.001). Besides, the SLTEA group had longer proximal esophageal cut edge length and a higher total number of lymph node dissections than the LTHA group (P < 0.001). The K-M survival curve shows that the five-year overall survival rate of the SLTEA group is higher than that of the LTHA group (P = 0.0386).

conclusionFor patients with Siewert type II AEG, the minimally invasive SLTEA is safe and effective, with shorter operative time, longer esophageal margins, more complete lymph node dissection, better postoperative recovery, and more benefits for patients' long-term survival. It can be promoted as a complementary option to Siewert type II AEG surgery.

Indexed as

AdenocarcinomaEsophageal NeoplasmsEsophagectomyEsophagogastric JunctionLaparoscopyStomach NeoplasmsAgedFeasibility StudiesFemaleHumansLength of StayLymph Node ExcisionMaleMiddle AgedOperative TimeRetrospective StudiesClinical application effectLaparoscopic transesophageal hiatus approachLeft transthoracic and esophageal hiatal approachLymph node dissectionMinimally invasive surgerySiewert Type II AEGSingle position

Identifiers

PMID42310199

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