Comparative study on short-term efficacy of single incision plus one (SI+1) port and multiportal 3D laparoscopic minimally invasive esophagectomy.

Background: To evaluate the safety and efficacy of single incision plus one (SI+1) port three-dimensional (3D) laparoscopic minimally invasive esophagectomy (MIE).

Methods: Clinical data of patients who underwent 3D thoracic laparoscopic MIE in our department from September 2020 to March 2021 were analyzed retrospectively. According to the different methods of laparoscopic surgery, the patients were divided into 2 groups: SI+1 port 3D laparoscopy group and multiportal 3D laparoscopy group. The operation time of the 3D laparoscopy component, amount of intraoperative blood loss, number of celiac lymph node dissections, postoperative abdominal drainage days, postoperative total abdominal drainage, postoperative complications, and length of hospital stay were analyzed.

Results: There was no significant difference between the 2 methods in laparoscopic operation time (30.11±5.86 28.45±4.72 min, P=0.49), intraoperative blood loss (34.44±9.82 35.91±6.25 mL, P=0.69), number of celiac lymph node dissections (8.44±3.13 7.09±2.12, P=0.27), postoperative abdominal drainage days (3.11±0.33 3.00±0.00 days, P=0.28), postoperative total abdominal drainage (95.00±23.33 92.27±11.26 mL, P=0.74), postoperative complications (22.2% 27.3%, P=0.33), and hospital stay (9.67±0.71 10.18±0.87 days, P=0.17). None of the patients enrolled in the study had recurrence or death to date.

Conclusions: The application of SI+1 port 3D laparoscopy in minimally invasive resection of esophageal carcinoma is safe and feasible.