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Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials

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Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials


Dr. Syed SumairaNawaz

https://doi.org/10.31142/ijtsrd4634



Dr. Syed SumairaNawaz "Minimal access oesophagectomy: Systematic review and sub-group meta-analyses based on Randomised Controlled trials" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-6, October 2017, pp.674-720, URL: https://www.ijtsrd.com/papers/ijtsrd4634.pdf

Background: All studies conducted to compare minimal access oesophagectomy (MAO) with open oesophagectomy (OO) till date, have the limitation that they are primarily bas ed on non randomized studies. Only evidence based on randomised controlled trials (RC Ts) can establish MAO as the preferred surgery for resectable oesophageal cancer (OCA) and hence the current review. Objectives: This review aims to establish a firm body of evidence in support of MAO. The objectives involve using PICO strategy and searching for relevant RCTs, extracting and analyzing data from them in order to derive conclusions that help establish evidence in favour of MAO. Data Sources: of the current review are RCTs that asess outcomes of MAO. Review methodology: Quantitave study has been designed through a systematic review and meta-analyses of RCTs. Results: Blood loss during surgery, post -operative pulmonary infection and duration of hospital stay favour MAO versus OO for resectable OCA management. Conclusion:The ideal MAO strategy may involve thoracoscopic oesophagectomy in prone position with low tidal volume ventilation, perioperative administration of amino-acids and neutrophil elastase inhibitor plus immediate postoperative chest physiotherapy and enteral feeding.

Minimal access oesophagectomy, Minimally invasive esophagectomy, Thoracoscopic oesophagectomy, Laparoscopic oesophagectomy, Laparoscopy, Oesophageal carcinoma


IJTSRD4634
Volume-1 | Issue-6, October 2017
674-720
IJTSRD | www.ijtsrd.com | E-ISSN 2456-6470
Copyright © 2019 by author(s) and International Journal of Trend in Scientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0)

International Journal of Trend in Scientific Research and Development - IJTSRD having online ISSN 2456-6470. IJTSRD is a leading Open Access, Peer-Reviewed International Journal which provides rapid publication of your research articles and aims to promote the theory and practice along with knowledge sharing between researchers, developers, engineers, students, and practitioners working in and around the world in many areas like Sciences, Technology, Innovation, Engineering, Agriculture, Management and many more and it is recommended by all Universities, review articles and short communications in all subjects. IJTSRD running an International Journal who are proving quality publication of peer reviewed and refereed international journals from diverse fields that emphasizes new research, development and their applications. IJTSRD provides an online access to exchange your research work, technical notes & surveying results among professionals throughout the world in e-journals. IJTSRD is a fastest growing and dynamic professional organization. The aim of this organization is to provide access not only to world class research resources, but through its professionals aim to bring in a significant transformation in the real of open access journals and online publishing.

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