What does this research mean for the field?

In esophagectomy for lower thoracic esophageal cancer, a fully laparoscopic abdominal approach is associated with a trend toward fewer severe pneumonias compared to open surgery, whereas hand-assisted laparoscopic surgery (HALS) offers limited benefit. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To evaluate the impact of open, hand-assisted laparoscopic, and fully laparoscopic abdominal approaches on short-term complications after esophagectomy for lower thoracic esophageal squamous cell carcinoma.

August 24, 2026Diseases of the Esophagus

P1.184. Impact of Abdominal Surgical Approach on Short-Term Outcomes After Esophagectomy for Lower Thoracic Squamous Cell Carcinoma: A Multicenter Cohort Study

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Authors

KUKohei UenoKyushu University STShigeru TsunodaKyoto University Hospital DSDai ShimizuNagoya University

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Implication

Multicenter cohort study reveals laparoscopic surgery trends toward fewer severe pneumonias after esophagectomy, suggesting reduced postoperative respiratory morbidity.

Key Points

To evaluate the impact of open, hand-assisted laparoscopic, and fully laparoscopic abdominal approaches on short-term complications after esophagectomy for lower thoracic esophageal squamous cell carcinoma.
Retrospective multicenter study evaluating 696 patients treated at 18 institutions between 2013 and 2017 (Open: 257, HALS: 198, Lap: 241).
Applied inverse probability of treatment weighting (IPTW) based on propensity scores and logistic regression to compare postoperative outcomes across abdominal approaches.
Clavien–Dindo grade ≥2 pneumonia rates did not significantly differ across groups after IPTW adjustment (HALS vs Open: OR 0.84, p=0.49; Lap vs Open: OR 0.88, p=0.59).
Severe grade ≥3 pneumonia showed a trend toward reduction in the laparoscopic group (OR 0.33, p=0.058) but not in the HALS group (OR 0.74, p=0.36).
No significant differences occurred among groups for anastomotic leakage, overall complications, or other non-pneumonia respiratory complications.

Cite This Study

Ueno et al. (2026) studied this question.

synapsesocial.com/papers/6a8c00d0bca056c88e6dfd66 https://doi.org/10.1093/dote/doag077.332

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Implication

Multicenter cohort study reveals laparoscopic surgery trends toward fewer severe pneumonias after esophagectomy, suggesting reduced postoperative respiratory morbidity.

P1.184. Impact of Abdominal Surgical Approach on Short-Term Outcomes After Esophagectomy for Lower Thoracic Squamous Cell Carcinoma: A Multicenter Cohort Study

Discussion

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Implication

Key Points

Cite This Study

P1.184. Impact of Abdominal Surgical Approach on Short-Term Outcomes After Esophagectomy for Lower Thoracic Squamous Cell Carcinoma: A Multicenter Cohort Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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