A retrospective cohort study of total laparoscopic Ivor Lewis esophagectomy versus open esophagectomy

Objective To compare baseline characteristics，intraoperative outcomes，and postoperative complications between patients undergoing total laparoscopic versus open Ivor Lewis esophagectomy. Methods The clinical data of 188 esophageal cancer patients who underwent Ivor Lewis esophagectomy at Nanjing Drum Tower Hospital，the Affiliated Hospital of Nanjing University Medical School from December 2021 to May 2024 were retrospectively collected. According to whether the total laparoscopic and thoracoscopic Ivor Lewis esophagectomy was adopted，they were divided into the total laparoscopic group（group T，n=130）and open esophagectomy group（group O，n=58）. The surgical conditions and complications of the two groups of patients were analyzed. Results Baseline：there was no significant difference between the two groups in age，neoadjuvant therapy，history of malignant tumor，tumor location，pathological type and pathological stage（P>0.05）. The proportions of women and basic diseases in group T were higherthan those in group O（P