Minimally Invasive Thoracoabdominal Esophagectomy Is Superior to Minimally Invasive Gastrectomy in Terms of Health-Related Quality of Life

Sophia M. Schmitz*, Patrick H. Alizai, Roman M. Eickhoff, Lena Schooren, Andreas Kroh, Anjali A. Roeth, Ulf P. Neumann, Christian D. Klink

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background and Objectives:There are two operative approaches for adenocarcinomas of the esophagogastric junction: thoracoabdominal esophagectomy or transhiatal extended gastrectomy. Both procedures can be performed minimally invasively. Dependent on the exact localization of the tumor, both approaches are feasible. Aim of this study was to compare the health-related quality of life (HRQOL) of patients after minimally invasive esophagectomy (MIE) with patients who underwent minimally invasive gastrectomy (MIG). Methods:All patients who underwent MIE or gastrectomy for malignoma since 2014 were identified from our clinical database. The identified patients were contacted and asked to fill out a quality of life questionnaire (QLQ) for general and gastrointestinal QOL (European Organization for Research and Treatment of Cancer QLQ-C30 and QLQ-OG25). Results:Global HRQOL scores were higher in patients after MIE than after MIG. After MIE, global HRQOL scores were close to the control population. In cancer-specific syndromes, patients after MIE reported lower symptom scores for financial problems, eating, reflux, and eating with others than patients after MIG. Conclusion:In terms of HRQOL, MIE proved superior to MIG in long-term follow-up in this study. Patients after MIE reported a HRQOL close to that of a healthy reference population.

Original languageEnglish
Pages (from-to)306-313
Number of pages8
JournalJournal of Laparoendoscopic & Advanced Surgical Techniques
Volume31
Issue number3
Early online date22 Sep 2020
DOIs
Publication statusPublished - 1 Mar 2021

Keywords

  • AEG tumor
  • esophagogastric junction
  • quality of life
  • follow-up
  • minimally invasive surgery
  • ESOPHAGOGASTRIC JUNCTION
  • LONG-TERM
  • EXTENDED GASTRECTOMY
  • EORTC QLQ-OG25
  • CANCER
  • ADENOCARCINOMA
  • SURGERY
  • SURVIVORS
  • RESECTION
  • OUTCOMES

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