Copyright: ©Author(s) 2026.
World J Gastrointest Surg. May 27, 2026; 18(5): 116490
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.116490
Published online May 27, 2026. doi: 10.4240/wjgs.v18.i5.116490
Table 1 Comparison of general data between the two groups, n (%)/mean ± SD
| Group | n | Sex | Age (years) | BMI (kg/m2) | cT grade | cN grade | ||||
| Male | Female | T1 | T2 | T3 | N0 | N1 | ||||
| Thoracoscopic group | 58 | 42 (72.4) | 16 (27.6) | 62.5 ± 8.1 | 22.8 ± 2.5 | 10 (17.2) | 25 (43.1) | 23 (39.7) | 35 (60.3) | 23 (39.7) |
| Open surgery group | 40 | 32 (80.0) | 8 (20.0) | 64.2 ± 7.6 | 23.1 ± 2.7 | 8 (20.0) | 16 (40.0) | 16 (40.0) | 22 (55.0) | 18 (45.0) |
| χ2/t | 0.784 | 1.052 | 0.573 | 0.211 | 0.327 | |||||
| P value | 0.376 | 0.296 | 0.568 | 0.900 | 0.567 | |||||
Table 2 Comparison of perioperative indicators between the two groups, mean ± SD
| Group | Total operation time (minutes) | Intraoperative blood loss (mL) | Total lymph nodes dissected | Right upper mediastinal lymph nodes (n) | Sub-carinal lymph nodes | Perigastric lymph nodes (n) |
| Thoracoscopic group | 285.6 ± 45.3 | 150.5 ± 50.2 | 22.4 ± 6.1 | 4.5 ± 1.8 | 3.2 ± 1.1 | 7.8 ± 2.5 |
| Open surgery group | 275.8 ± 50.1 | 320.8 ± 85.7 | 21.8 ± 5.9 | 4.2 ± 1.6 | 3.0 ± 1.3 | 7.5 ± 2.4 |
| t-value | 1.012 | -12.345 | 0.491 | 0.867 | 0.821 | 0.596 |
| P value | 0.314 | < 0.001 | 0.625 | 0.388 | 0.414 | 0.553 |
Table 3 Comparison of postoperative recovery between the two groups, mean ± SD
| Group | Chest-tube duration (days) | Time to first ambulation (days) | Postoperative hospital stay (days) | Return of bowel sounds (hours) | Time to oral fluid tolerance (days) |
| Thoracoscopic group | 5.1 ± 1.5 | 2.5 ± 0.8 | 12.5 ± 3.2 | 28.5 ± 6.8 | 5.8 ± 1.2 |
| Open surgery group | 7.2 ± 2.1 | 2.8 ± 1.0 | 15.8 ± 4.5 | 35.2 ± 9.5 | 6.9 ± 1.8 |
| t-value | -5.678 | -1.234 | -4.123 | -4.012 | -3.567 |
| P value | < 0.001 | 0.220 | < 0.001 | < 0.001 | 0.001 |
Table 4 Comparison of postoperative recovery between the two groups, n (%)
| Group | Pulmonary infection | Arrhythmia | Anastomotic leak | Recurrent laryngeal nerve injury | Chylothorax | Wound infection | Total complications |
| Thoracoscopic group | 5 (8.6) | 6 (10.3) | 3 (5.2) | 4 (6.9) | 1 (1.7) | 2 (3.4) | 14 (24.1) |
| Open surgery group | 10 (25.0) | 7 (17.5) | 2 (5.0) | 5 (12.5) | 1 (2.5) | 4 (10.0) | 19 (47.5) |
| χ2 value | 5.876 | ||||||
| P value | 0.015 |
Table 5 Comparison of postoperative recovery (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 scores) between the two groups, mean ± SD
| Group | General health | Somatic function | Role features | |||
| Preoperative | Postoperative 1 month | Preoperative | Postoperative 1 month | Preoperative | Postoperative 1 month | |
| Thoracoscopic group | 68.5 ± 9.8 | 65.8 ± 10.2 | 76.2 ± 10.5 | 72.5 ± 11.6 | 74.8 ± 11.2 | 68.9 ± 12.1 |
| Open surgery group | 67.9 ± 10.3 | 58.3 ± 12.5 | 75.8 ± 11.1 | 65.1 ± 13.8 | 73.9 ± 12.4 | 60.5 ± 14.2 |
| t | 0.302 | 3.345 | 0.185 | 2.894 | 0.376 | 3.112 |
| P value | 0.763 | 0.001 | 0.854 | 0.005 | 0.708 | 0.002 |
- Citation: Meng YS, Zhang XW, Kang JL, Zhou JJ. Thoracoscopic vs open esophagectomy: Short-term efficacy with laparoscopic gastric tube. World J Gastrointest Surg 2026; 18(5): 116490
- URL: https://www.wjgnet.com/1948-9366/full/v18/i5/116490.htm
- DOI: https://dx.doi.org/10.4240/wjgs.v18.i5.116490