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Esophagectomy laparoscopic

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https://www.readbyqxmd.com/read/29756108/thoracoscopic-vagal-sparing-esophagectomy-and-colonic-interposition-for-caustic-stricture
#1
Deniz Tihan, Tuğba Matlım, Taylan Çelik, Fatih Altıntoprak, Oktar Asoğlu
Minimally invasive esophagectomy is an increasing trend in surgery. Thoracoscopic esophagectomy is applicable and an alternative procedure to conventional esophagectomy in patients especially with end-stage benign diseases like caustic stricture. A 33-year-old female patient was admitted to the department of general surgery with dysphagia. The patient was suffering from caustic stricture due to ingestion of hydrochloric acid. A totally thoracoscopic and laparoscopic vagal-sparing esophagectomy and colonic interposition was performed...
2018: Turkish Journal of Surgery
https://www.readbyqxmd.com/read/29740725/a-case-of-mixed-adenoneuroendocrine-carcinoma-manec-arising-in-barrett-s-esophagus-literature-and-review
#2
Tetsuro Kawazoe, Hiroshi Saeki, Keitaro Edahiro, Shotaro Korehisa, Daisuke Taniguchi, Kensuke Kudou, Ryota Nakanishi, Nobuhide Kubo, Koji Ando, Yuichiro Nakashima, Eiji Oki, Minako Fujiwara, Yoshinao Oda, Yoshihiko Maehara
BACKGROUND: Mixed adenoneuroendocrine carcinoma (MANEC) is defined as a neoplasm composed of both exocrine and endocrine carcinomas, each comprising at least 30% of the tumor. MANEC can occur in various organs of the gastrointestinal tract, including the esophagus, stomach, and colon. We herein provide the first case report of surgically resected MANEC arising in Barrett's esophagus (BE). CASE PRESENTATION: A 70-year-old man presenting with abdominal pain was referred to our hospital...
May 8, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29712597/esophageal-resection-for-end-stage-achalasia
#3
REVIEW
Alberto Aiolfi, Emanuele Asti, Gianluca Bonitta, Stefano Siboni, Luigi Bonavina
Achalasia is a rare disease characterized by impaired lower esophageal sphincter relaxation loss and of peristalsis in the esophageal body. Endoscopic balloon dilation and laparoscopic surgical myotomy have been established as initial treatment modalities. Indications and outcomes of esophagectomy in the management of end-stage achalasia are less defined. A literature search was conducted to identify all reports on esophagectomy for end-stage achalasia between 1987 and 2017. MEDLINE, Embase, and Cochrane databases were consulted matching the terms "achalasia," "end-stage achalasia," "esophagectomy," and "esophageal resection...
April 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29625500/the-da-vinci-xi-robotic-four-arm-approach-for-robotic-assisted-minimally-invasive-esophagectomy
#4
Peter Philipp Grimminger, Edin Hadzijusufovic, Jelle Piet-Hein Ruurda, Hauke Lang, Richard van Hillegersberg
Robotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon...
April 6, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29594164/upper-gastrointestinal-surgery-robotic-surgery-versus-laparoscopic-procedures-for-esophageal-malignancy
#5
REVIEW
Matthias Biebl, Andreas Andreou, Sascha Chopra, Christian Denecke, Johann Pratschke
Background: The evolution of minimally invasive surgery (MIS) also extends to the field of esophageal surgery and has brought forth the development of several approaches of minimally invasive esophagectomy (MIE). Hybrid and total minimally invasive operative techniques have proven beneficial compared to open surgery and are currently evaluated against robotic-assisted minimally invasive esophagectomy (RAMIE). We aim to review the current literature regarding the position of MIE versus RAMIE...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29581677/laparoscopic-assisted-transhiatal-esophagectomy-late-for-carcinoma-of-the-esophagus
#6
Vageesh B G, Hirdaya H Nag, Vaibhav Varshney
Total laparoscopic approach for the management of carcinoma of the esophagus has not gained much popularity due to its complexity. The aim of this study was to evaluate safety, feasibility, and outcome of laparoscopic-assisted transhiatal esophagectomy (LATE) for patients with carcinoma of the esophagus. This retrospective study involves a total of 26 patients with carcinoma of the esophagus who were considered for LATE by a single surgical team from January 2010 to September 2014. The median (range) age was 55 years (35-72), and male to female ratio was 20:6...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29562419/-progress-in-the-application-of-robot-assisted-minimally-invasive-esophagectomy
#7
X F Guo, Z G Li
Robotic assisted surgery system is the most advanced minimally invasive surgical platform in the world, and this system has been widely used in cardiac surgery, urology surgery, gynecology surgery and general surgery. Although the application of this system was relative late in esophageal surgery, it has been developing vigorously. According to the research progress and practical experience in the world, robot assisted minimally invasive esophagectomy (RAMIE) has the same safety and effectiveness as traditional open esophagectomy (OE) and thoracoscopic laparoscopic esophagectomy (TLE)...
April 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29555244/the-incidence-and-treatment-of-a-symptomatic-diaphragmatic-hernia-following-esophagectomy-for-cancer
#8
Jan A H Gooszen, Annelijn E Slaman, Susan van Dieren, Suzanne S Gisbertz, Mark I van Berge Henegouwen
BACKGROUND: Diaphragmatic hernias following esophagectomy are mostly asymptomatic. However, they can also present with severe complications and be associated with high morbidity and mortality rates. The aim of this study was to assess the incidence, predictive factors and preferred treatment of symptomatic diaphragmatic hernias and to evaluate the role of prophylactic cruroplasty in patients following esophagectomy for carcinomas of the esophagus or gastro-esophageal junction. METHODS: A prospective database was used to retrospectively analyze consecutive patients who underwent esophagectomy between January 2005 and December 2015...
March 16, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29541462/multidisciplinary-therapy-for-metastatic-primary-malignant-melanoma-of-the-esophagus-a-case-report
#9
Ken Sasaki, Yasuto Uchikado, Itaru Omoto, Masahiko Amatatsu, Koichi Megumi, Hiroshi Okumura, Kosei Maemura, Shoji Natsugoe
Standard treatment strategies have not yet been established for primary malignant melanoma of the esophagus (PMME), and far much less for recurrent disease. There are no reports of anti-programmed death-1 antibody treatment of recurrent PMME. A 60-year-old Japanese man was diagnosed with a primary malignant melanoma in the lower esophagus. The patient underwent mediastinoscope-assisted subtotal esophagectomy, and two nodal involvements were detected in the lymph nodes (LN)s along the left gastric artery. Paclitaxel and oral fluoropyrimidine were administered for 2 months as adjuvant treatment based on results of a histoculture drug response assay...
April 2018: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/29509543/management-of-pylorus-during-esophagectomy-to-drain-or-not-to-drain
#10
Stylianos Kykalos, Evangelia Ntikoudi
Dear Editor, delayed gastric emptying due to bilateral vagotomy after esophagectomy, has been associated with increased aspiration rates, prolonged hospital stay and impaired quality of life. A pyloric drainage procedure in an effort to reduce its incidence, most commonly a pyloroplasty, represented for years a standard part of distal esophagectomy. This trend has been reevaluated nowadays and the question that still remains open is whether we should further keep on draining pylorus during esophagectomy or not...
January 2018: Chirurgia
https://www.readbyqxmd.com/read/29475550/the-negative-effect-of-perioperative-red-blood-cell-transfusion-on-morbidity-and-mortality-after-major-abdominal-operations
#11
Nathan R Elwood, Allison N Martin, Florence E Turrentine, R Scott Jones, Victor M Zaydfudim
BACKGROUND: This study aims to test associations between perioperative blood transfusion and postoperative morbidity and mortality after major abdominal operations. METHODS: The 2014 ACS NSQIP dataset was queried for all patients who underwent one of the ten major abdominal operations. Separate multivariable regression models, were developed to evaluate the independent effects of perioperative blood transfusion on morbidity and mortality. RESULTS: Of 48,854 patients in the study cohort, 4887 (10%) received a blood transfusion...
February 17, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29454718/the-learning-curve-for-robot-assisted-minimally-invasive-thoracoscopic-esophagectomy-results-from-312-cases
#12
Pieter C van der Sluis, Jelle P Ruurda, Sylvia van der Horst, Lucas Goense, Richard van Hillegersberg
BACKGROUND: Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy (RAMIE) was developed in 2003. RAMIE was shown to be safe and oncologically effective. The aim of this study was to assess the learning curve and the proctoring program for a newly introduced surgeon (surgeon 2). METHODS: The "learning curve" was defined as the number of operations that must be performed by a surgeon to achieve a steady level of performance. Measures of proficiency to describe the learning curve of the proctor and the newly introduced surgeon 2 included: operating time, blood loss and conversion rates and were analyzed using the cumulative sum (CUSUM) method...
February 15, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29394740/-a-case-of-esophago-gastric-junctional-carcinoma-with-intramural-invasion-and-cervical-lymph-node-metastasis
#13
Hidekazu Hiramoto, Hirotaka Konishi, Atsushi Shiozaki, Hitoshi Fujiwara, Tomohiro Arita, Toshiyuki Kosuga, Ryo Morimura, Yasutoshi Murayama, Yoshiaki Kuriu, Hisashi Ikoma, Masayoshi Nakanishi, Kazuma Okamoto, Eigo Otsuji
The patient was a 66-year-old man who was diagnosed with a type 3 lesion in the esophago-gastric junction and a type 1 lesion in the upper esophagus. Both the lesions were diagnosed as adenocarcinoma. Chest and abdominal computed tomography examinations pointed out No. 106recL lymph node metastasis. He was diagnosed with Stage III esophago-gastric cancer( T2N3M0)and treated by a laparoscopic subtotal esophagectomy with 2-field lymph node dissection. The histological diagnosis was type 3 adenocarcinoma in the esophago-gastric junction with intramural metastasis and massive lymph node metastasis(No...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29394686/-a-case-of-liver-metastasis-from-esophageal-cancer-successfully-treated-by-surgical-resection-after-chemotherapy-with-weekly-paclitaxel
#14
Akinori Nozawa, Naoshi Kubo, Sadatoshi Shimizu, Akihiro Murata, Akishige Kanazawa, Shintaro Kodai, Yorihisa Urata, Kotaro Miura, Jun Tauchi, Katsunori Sakurai, Akiko Tachimori, Yutaka Tamamori, Toru Inoue, Yoshito Yamashita, Yukio Nishiguchi
A 58-year-old man complaining of dysphagia was admitted to our hospital and diagnosed with esophageal cancer.He underwent thoracoscopic subtotal esophagectomy with 3-field lymph node dissection and reconstruction with a gastric tube created by hand-assisted laparoscopy.The pathological diagnosis was classified as AeLtG, pT3N2M0, pStage III .He was subsequently treated with systemic chemotherapy with 5-fluorouracil and cisplatin.After 2 courses, a single liver metastatic tumor appeared at segment 5.As chemotherapy against the recurrence, weekly-paclitaxel was administered...
November 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29287753/laparoscopic-transhiatal-esophagectomy-after-biliopancreatic-diversion-with-duodenal-switch
#15
Deepali H Jain, Tedi S Vlahu, Paul R Kemmeter, Jill K Onesti
No abstract text is available yet for this article.
January 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29259379/two-step-method-for-creating-a-gastric-tube-during-laparoscopic-thoracoscopic-ivor-lewis-esophagectomy
#16
Yu Liu, Ji-Jia Li, Peng Zu, Hong-Xu Liu, Zhan-Wu Yu, Yi Ren
AIM: To introduce a two-step method for creating a gastric tube during laparoscopic-thoracoscopic Ivor-Lewis esophagectomy and assess its clinical application. METHODS: One hundred and twenty-two patients with middle or lower esophageal cancer who underwent laparoscopic-thoracoscopic Ivor-Lewis esophagectomy at Liaoning Cancer Hospital and Institute from March 2014 to March 2016 were included in this study, and divided into two groups based on the procedure used for creating a gastric tube...
December 7, 2017: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/29247269/late-esophageal-wall-injury-after-mesh-repair-for-large-esophageal-hiatal-hernia-a-case-report
#17
Kentaro Yatabe, Soji Ozawa, Eisuke Ito, Junya Oguma, Akihito Kazuno, Miho Nitta, Yamato Ninomiya
BACKGROUND: Plication of an esophageal hiatus during surgery for esophageal hiatal hernia is a common practice; however, a mesh may be used if the hiatus is markedly enlarged. Recently, various late complications occurring as a result of mesh-induced esophageal and/or gastric wall injuries have been reported. CASE PRESENTATION: A 71-year-old woman presented at a neighborhood clinic in November 2010 with chief complaints of respiratory distress on exertion and heartburn...
December 15, 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/29222890/home-enteral-nutrition-after-minimally-invasive-esophagectomy-can-improve-quality-of-life-and-reduce-the-risk-of-malnutrition
#18
Zixiang Wu, Ming Wu, Qi Wang, Tianwei Zhan, Lian Wang, Saibo Pan, Gang Chen
BACKGROUND AND OBJECTIVES: The potential benefits of home enteral nutrition (HEN) and the effects of HEN on quality of life (QOL) after esophagectomy remain unclear. The aim was to investigate the effect of 3 months HEN on health related QOL and nutritional status of esophageal cancer patients who were preoperatively malnourished. METHODS AND STUDY DESIGN: 142 malnourished (PG-SGA stage B or C) patients with esophageal cancer were assigned to receive Ivor Lewis minimally invasive esophagectomy (MIE group) with laparoscopic jejunal feeding tube placement or open esophagectomy (OE group) with nasojejunal feeding tube placement...
2018: Asia Pacific Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/29203037/near-infrared-perfusion-assessment-of-gastric-conduit-during-minimally-invasive-ivor-lewis-esophagectomy
#19
Brian G A Dalton, Abubaker A Ali, Marie Crandall, Ziad T Awad
INTRODUCTION: Anastomotic leak and conduit necrosis are devastating complications following Ivor Lewis esophagectomy. Near infrared imaging (NIR) using IndoCyanine Green allows for real time tissue perfusion assessment which may reduce anastomotic leak during minimally invasive Ivor Lewis esophagectomy (MIE). METHODS: Forty consecutive MIE were performed by a single surgeon at a tertiary referral center. The first 20 were assessed for gastric conduit perfusion by clinical criteria (Group 1)...
November 28, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29199673/the-comparison-of-thoracoscopic-laparoscopic-esophagectomy-and-open-esophagectomy-a-meta-analysis
#20
B Wang, Z Zuo, H Chen, B Qiu, M Du, Y Gao
OBJECTIVE: The objective of this study was to perform a meta-analysis to evaluate the effects of thoracoscopic-laparoscopic esophagectomy (TLE) and open esophagectomy (OE) in the treatment of esophageal cancer. METHODS: A literature search was performed using PubMed, Embase, and Google Scholar databases for relevant keywords and the medical subject headings. After we had screened further, 13 clinical trials were included in the final meta-analysis. Specific odds ratios (ORs), standardized mean differences (SMDs), mean differences (MDs), and confidence intervals (CIs) were calculated...
January 2017: Indian Journal of Cancer
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