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Vol. 99. Issue 6.
Pages 457-462 (June - July 2021)
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Vol. 99. Issue 6.
Pages 457-462 (June - July 2021)
Innovation in surgical technique
“Tubeless” esophagectomy: Less is more
Esofaguectomía «tubeless»: menos es más
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Marcos Bruna
Corresponding author
drbruna@comv.es

Corresponding author.
, Fernando Mingol, Mireia Navasquillo, Hanna Cholewa, Francisco Javier Vaqué
Unidad de Cirugía Esofagogástrica y Carcinomatosis Peritoneal, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario y Politécnico La Fe, Valencia, Spain
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Table 1. Descriptive study of cases.
Abstract

The esophageal cancer surgery is a complex procedure with elevated rates of both morbidity and mortality, which is why, in order to achieve adequate results, it should be performed in high volume centers, where complete multidisciplinary support is available and recent clinical guidelines are applied. We describe the initial experience and the technique of “tubeless” esophagectomy where esophageal resection and mediastinal lymphadenectomy are performed and no drains nor tubes of any kind are placed, with the aim to decrease the level of surgical aggression, enhance the postoperative comfort and accelerate the patient́s recovery.

Keywords:
Multimodal rehabilitation
Esophagectomy
Esophageal cancer
Drains
Probes
Resumen

La cirugía del cáncer de esófago es un procedimiento complejo con tasas de morbimortalidad elevadas, por lo que para obtener resultados adecuados se precisa de centros experimentados, un completo soporte multidisciplinar y vías clínicas adecuadas. Se describe la experiencia inicial y la técnica de la esofaguectomía «tubeless» en la que tras realizar una resección esofágica y linfadenectomía mediastínica extendida, al final del procedimiento no son colocados drenajes ni sondas de ningún tipo, con el fin de disminuir la agresividad del mismo, mejorar el bienestar postoperatorio y acelerar la recuperación funcional del paciente.

Palabras clave:
Rehabilitación multimodal
Esofaguectomía
Cáncer de esófago
Drenajes
Sondas

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