Effect of Rapid Rehabilitation Surgical Nursing on Perioperative Application, Psychological Status and Quality of Life in Patients with Esophageal Cancer Given Minimally Invasive Treatment

Abstract Background. Peristomal metastases are rare, but potentially associated with relevant morbidity. Surgical resection, followed by stoma relocation, represent the gold standard in most patients. We describe electrochemotherapy (ECT), a minimally invasive method for locally-enhancing drug delivery by means of electric pulses, as an alternative approach. Patient and methods. A 49-year-old man with advanced gastric cancer developed skin metastases around an ileostomy site. The ulcerated and oozing tumor growth impaired patient’s quality of life due to continuous trouble in fitting the ostomy appliance, its poor adherence and consequent stools spillage. ECT consisted of a 20-minute course under mild general sedation. A bleomycin bolus of 15 000 IU/m2 was followed by the percutaneous application of multiple, 1.5 ms -long electric pulses by means of a needle electrode. Results. Post ECT course was uneventful and the patient was discharged on the same day. After one week, tumor nodules were flattened and partial tumor regression was appreciable at one-month follow-up. More importantly, peristomal skin conditions significantly improved, thus allowing for an effective application of the ostomy appliance during the following moths, until patient’s death. Conclusions. This report suggests the feasibility of ECT as a minimally invasive approach for peristomal tumors. In selected cases, ECT, by achieving a rapid tumor control, may ensure effective ostomy management and preserve patients’ quality of life.

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Minimally Invasive Treatment of Esophageal Cancer

The Cancer Journal ◽

10.1097/00130404-200501000-00003 ◽

2005 ◽

Vol 11 (1) ◽

pp. 10-17 ◽

Cited By ~ 36

Author(s):

N. Joseph Espat ◽

Garth Jacobsen ◽

Santiago Horgan ◽

Phillip Donahue

Keyword(s):

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Treatment ◽

Invasive Treatment

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Quality of Life after Open or Minimally Invasive Esophagectomy in Patients With Esophageal Cancer—A Systematic Review

Seminars in Thoracic and Cardiovascular Surgery ◽

10.1053/j.semtcvs.2017.08.013 ◽

2017 ◽

Vol 29 (3) ◽

pp. 377-390 ◽

Cited By ~ 11

Author(s):

Emanuela Taioli ◽

Rebecca M. Schwartz ◽

Wil Lieberman-Cribbin ◽

Gil Moskowitz ◽

Maaike van Gerwen ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Invasive Esophagectomy

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Psychological Effects of Skin Incision Size in Minimally Invasive Valve Surgery Patients

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/1556984520956980 ◽

2020 ◽

Vol 15 (6) ◽

pp. 532-540

Author(s):

Alessandra Piarulli ◽

Giovanni Alfonso Chiariello ◽

Piergiorgio Bruno ◽

Federico Cammertoni ◽

Alessia Rabini ◽

...

Keyword(s):

Quality Of Life ◽

Body Image ◽

Minimally Invasive ◽

Heart Valve ◽

Well Being ◽

Psychological Tests ◽

Valve Surgery ◽

Psychological Status ◽

Heart Valve Surgery

Objective Clinical benefits of minimally invasive cardiac valve surgery (MIVS) have been reported. Improved postoperative mental status was never analyzed with dedicated psychological tests. In the present study we intend to investigate potential benefits of MIVS for patient psychological well-being, with special attention to the relevance of the patient perception of the chest surgical scar, of the self body image and cosmetic aspects. Methods Between 2016 and 2017, 87 eligible patients, age 66.5 ± 14.5 years, operated on for heart valve surgery, underwent either conventional full sternotomy (CS; n = 48) or MIVS by V-shape hemi-sternotomy approach ( n = 39). Before selection of the surgical approach, patients had undergone preoperative evaluation of their psychological status using Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory Form Y (STAI-Y), and EuroQol-5D (EQ-5D) psychological tests. Six months postoperatively, patients filled in dedicated questionnaires to assess their psychological status, quality of life, and subjective perception, thus repeating the above-mentioned tests and adding the Body Image Questionnaire (BIQ) and Patient and Observer Scar Assessment Scale (POSAS) v2.0 tests for scar-healing process evaluation. Results No patient died during the study.The 4 post-test scales of psychological well-being (BDI-II P = 0.04, STAI-Y P = 0.04, 2 indices of EQ-5D P = 0.03, P = 0.01) showed significant differences between the MIVS group and CS group, with MIVS-small incision patients having lower level of depression and anxiety symptoms and better quality of life. Mean score differences of scar perception (BIQ and POSAS v2.0) were significant, with MIVS patients having evaluated the scar quality significantly better than CS patients. Conclusions MIVS appears associated with significant esthetical and related psychological benefits, as documented by technical tests. These findings should be considered when selecting the most appropriate technique for heart valve surgery.

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Comparison of Up-Front Minimally Invasive Esophagectomy versus Open Esophagectomy on Quality of Life for Esophageal Squamous Cell Cancer

Current Oncology ◽

10.3390/curroncol28010068 ◽

2021 ◽

Vol 28 (1) ◽

pp. 693-701

Author(s):

Zhenhua Li ◽

Jingge Cheng ◽

Yuefeng Zhang ◽

Shiwang Wen ◽

Huilai LV ◽

...

Keyword(s):

Quality Of Life ◽

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Short Term ◽

European Organization ◽

Invasive Esophagectomy ◽

Open Esophagectomy ◽

Better Than

This study investigates whether minimally invasive esophagectomy (MIE) is a safe and effective way for patients with resectable esophageal cancer by comparing the short-term quality of life (QOL) after minimally invasive esophagectomy and open esophagectomy (OE). A total number of 104 patients who underwent esophagectomy from January 2013 to March 2014 were enrolled in this study. These patients were divided into two groups (MIE and OE group). Three scoring scales of quality of life were used to evaluate QOL before the operation and at the first, third, sixth and twelfth months after MIE or OE, which consist of Karnofshy performance scale (KPS), the European Organization for Research and Treatment questionnaire QLQC-30 (EORTC QLQC-30) and esophageal cancer supplement scale (OES-18). The MIE group was higher than the OE group in one-year survival rate (92.54% vs. 72.00%). Significant differences between the two groups were observed in intraoperative bleeding volume (158.53 ± 91.07 mL vs. 228.97 ± 109.33 mL, p = 0.001), and the incidence of postoperative pneumonia (33.33% vs. 58.62%, p = 0.018). The KPS of MIE group was significantly higher than the OE group at the first (80 vs. 70, p = 0.004 < 0.05), third (90 vs. 80, p = 0.006 < 0.05), sixth (90 vs. 80, p = 0.007 < 0.05) and twelfth months (90 vs. 80, p = 0.004 < 0.05) after surgery. The QLQC-30 score of MIE group was better than OE group at first and twelfth months after the operation. The OES-18 score of MIE group was significantly better than OE group at first, sixth and twelfth months after surgery. The short-term quality of life in MIE group was better than OE group.

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Uniportal thoracoscopy combined with laparoscopy as minimally invasive treatment of esophageal cancer

Journal of Thoracic Disease ◽

10.21037/jtd.2018.03.107 ◽

2018 ◽

Vol 10 (4) ◽

pp. E265-E269 ◽

Cited By ~ 1

Author(s):

Francesco Paolo Caronia ◽

Ettore Arrigo ◽

Andrea Valentino Failla ◽

Francesco Sgalambro ◽

Giorgio Giannone ◽

...

Keyword(s):

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Treatment ◽

Invasive Treatment

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Robotic resection for esophageal cancer

European Surgery ◽

10.1007/s10353-020-00675-8 ◽

2020 ◽

Author(s):

Jan-Niclas Kersebaum ◽

Thorben Möller ◽

Thomas Becker ◽

Jan-Hendrik Egberts

Keyword(s):

Quality Of Life ◽

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Esophagectomy ◽

Tumor Resection ◽

Oncologic Outcomes ◽

Term Survival ◽

Invasive Esophagectomy ◽

Robotic Esophagectomy

Summary Background In the surgical treatment of esophageal cancer, complete tumor resection is the most important factor and determines long-term survival. With an increase in robotic expertise in other fields of surgery, robotic-assisted minimally invasive esophagectomy (RAMIE) was born. Currently, there is a lack of convincing data on the extent of expected benefits (perioperative and oncologic outcomes and/or quality of life). Some evidence exists that patients’ overall quality of life and physical function improves, with less fatigue and pain 3 months after surgery. We aimed to review the available literature regarding robotic esophagectomy, compare perioperative, oncologic, and quality of life outcomes with open and minimally invasive approaches, and give a brief overview of our standardized four-arm RAMIE technique and explore future directions. Methods A Medline (PubMed) search was conducted including the following key words: esophagectomy, minimally invasive esophagectomy, robotic esophagectomy, Ivor Lewis and McKeown. We present the history, different techniques used, outcomes, and the standardization of robotic esophagectomy. Results Robotic esophagectomy offers a steeper learning curve with fewer complications but comparable oncological results compared to conventional minimally invasive esophagectomy. Conclusions Available studies suggest that RAMIE is associated with benefits regarding length of stay, clinical outcomes, and quality of life—if patients are treated in an experienced center with a standardized technique for robotic esophagectomy—making it a potentially beneficial tool in the treatment of esophageal cancer. However, center-wide standardization and prospective data collection will be a necessity to prove superiority of robotic esophagectomy.

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