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Es erfolgte eine 1:1-Propensity-Score-Matching(PSM)-Analyse.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt 75\u00a0Patienten konnten nach PSM in beiden Gruppen analysiert werden. Etwa zwei Drittel der Operationen erfolgte aufgrund eines Adenokarzinoms und ein Drittel bei Plattenepithelkarzinom. Im Median wurden 22 bzw. 21\u00a0Lymphknoten reseziert. Die intrathorakale \u00d6sophagogastrostomie erfolgte in der RAMIE-Gruppe in 97\u202f% mit einem Zirkularstapler mit \u226528\u202fmm Durchmesser (offen: 25\u202fmm in 90\u202f% der F\u00e4lle). Die Operationszeit war l\u00e4nger (Median 490 vs. 339\u202fmin, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001), hingegen waren der Blutverlust (Median 300 vs. 500\u202fml, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001), die Anastomoseninsuffizienz- (8,0\u202f% vs. 25,3\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,004), Wundinfektions- (4,0\u202f% vs. 17,3\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,008) und pulmonale Komplikationsrate (29,3\u202f% vs. 44,0\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,045) sowie die mediane Krankenhausverweildauer (14 vs. 20\u00a0Tage, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001) und die 90-Tage-Mortalit\u00e4t signifikant geringer verglichen mit der offenen Kontrollkohorte (4,0\u202f% vs. 13,3\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,039).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Ein konsequenter Wechsel des perioperativen Managements u.\u202fa. mit RAMIE und SDD kann zu einer stabilen Reduktion der Morbidit\u00e4t ohne Einschr\u00e4nkungen der onkologischen Radikalit\u00e4t f\u00fchren.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-021-01550-2","type":"journal-article","created":{"date-parts":[[2021,12,21]],"date-time":"2021-12-21T15:02:30Z","timestamp":1640098950000},"page":"694-701","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Strategiewechsel zur minimal-invasiven \u00d6sophagektomie\u00a0\u2013 Ergebnisse an einem zertifizierten Zentrum","Change of strategy to minimally invasive esophagectomy\u2014Results at a certified center"],"prefix":"10.1007","volume":"93","author":[{"given":"Felix","family":"Merboth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmin","family":"Hasanovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Stange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius","family":"Distler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Kaden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Weitz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thilo","family":"Welsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,12,21]]},"reference":[{"key":"1550_CR1","first-page":"739","volume":"116","author":"P Baum","year":"2019","unstructured":"Baum\u00a0P, Diers\u00a0J, Lichthardt\u00a0S et\u00a0al (2019) Mortality and complications following visceral surgery: a nationwide analysis based on the diagnostic categories used in German hospital invoicing data. 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