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Minimally invasive esophagectomy: A treatment modality for esophageal cancers in Pakistan - A case series
Sameer Ur Rehman1, Abid Jamal2
1Final Year Medical Student, Medical College, Aga Khan University, Karachi, Pakistan.
2General Surgeon, Minimal Access and Laparoscopic Surgery, Patel Hospital, Karachi, Pakistan.

doi:10.5348/ijcri-2011-09-52-CS-2

Address correspondence to:
Abid Jamal
Department of General Surgery
Patel Hospital
ST-18, Block-4
Gulshan-e-Iqbal
Karachi - 75300
Pakistan
Phone: 009221-34541317
Email: abidjamal@excite.com

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How to cite this article:
Rehman SU, Jamal A. Minimally invasive esophagectomy: A treatment modality for esophageal cancers in Pakistan- A case series. International Journal of Case Reports and Images 2011;2(9):5-8.


Abstract
Introduction: There is an increase in incidence of esophageal cancers in Pakistan; particularly squamous cell cancer, due to a rise in tobacco use in different forms. Possibly, the only therapeutic option to date is the use of neoadjuvant therapy followed by surgical esophageal resection.
Case Series: For the very first time, we report fives cases in Pakistan where minimally invasive esophagectomy was adopted as a treatment modality for the management of esophageal cancers.
Conclusion: Open esophageal resection has a high morbidity and mortality. In addition, it involves long Intensive Care Unit stay, in-hospital stay and long recovery period. Minimally Invasive Esophagectomy seems to have the potential to improve this, if employed frequently in the management of esophageal cancers in Pakistan. Based on our initial experience of minimally invasive esophagectomy in Pakistan, videoscopic esophagectomy appears to be as safe as conventional open esophagectomy with the potential to achieve better post-operative results.

Key Words: Esophagus, Cancer, Surgery, Minimally invasive surgery, Esophagectomy

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Author Contributions:
Sameer Ur Rehman - Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content; Final approval of the version to be published
Abid Jamal - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Sameer Ur Rehman et al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)