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
Core Tip

Core tip: In this meta-analysis, hybrid minimally invasive esophagectomy (HMIE) was found to be associated with less blood loss and lower incidence of pulmonary complications compared to conventional open esophagectomy (OE). In the subgroup analysis, patients with HMIE using laparoscopic gastric mobilization-thoracotomy presented less blood loss, shorter hospital stay, lower incidence of total and pulmonary complications than those with OE. No significant difference was observed between the two groups in mortality. In conclusion, our study is the first meta-analysis confirming the priority of HMIE to OE.