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Esophagectomy laparoscopic

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https://www.readbyqxmd.com/read/27858584/minimally-invasive-esophagectomy-for-adenocarcinomas-of-the-gastroesophageal-junction-and-distal-esophagus-notes-on-technique
#1
Ory Wiesel, Brian Whang, Daniel Cohen, P Marco Fisichella
In the last three decades, with the advancement of laparoscopic and thoracoscopic surgery, minimally invasive approaches for benign and malignant diseases of the esophagus have been developed and more experience is starting to accumulate across the world. Minimally invasive esophagectomy (MIE) has demonstrated acceptable lymph node retrieval, good postoperative outcomes, and low mortality. In this article, we review our preferred technique of MIE for adenocarcinomas of the gastroesophageal junction and distal esophagus...
November 18, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27826778/comparison-of-single-and-multi-incision-minimally-invasive-esophagectomy-mie-for-treating-esophageal-cancer-a-propensity-matched-study
#2
Jang-Ming Lee, Shang-Chi Chen, Shun-Mao Yang, Ying-Fan Tseng, Pei-Wen Yang, Pei-Ming Huang
OBJECTIVE: To compare the perioperative outcome of minimally invasive (MIE) esophagectomy performed with a single- or a multi-incision in treating esophageal cancer. METHOD: Patients with esophageal cancer who underwent MIE from 2006 to 2016 were evaluated. A 3-4-cm incision was created in both the thoracoscopic and the laparoscopic phases during the single-incision MIE procedures. A propensity-matched comparison was made between the two groups of patients. RESULTS: We analyzed a total of 48 pairs of patients with propensity-matched from the cohort of 360 patients undergoing MIE during 2006-2015...
November 8, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27816689/minimally-invasive-resection-of-synchronous-triple-primary-tumors-of-the-esophagus-lung-and-thymus-a-case-report
#3
Xiao Song, Haibo Shen, Jie Li, Fengmin Wang
INTRODUCTION: Reports of synchronous multiple primary tumors are very rare. We report a case of synchronous esophagus and lung cancer combined with thymoma treated with a minimally invasive approach. PRESENTATION OF CASE: In a 63-year-old patient, cT2 esophageal squamous cell carcinoma was found. Chest computed tomography revealed a lesion in the right upper lobe combined with an antero-superior mediastinal mass. She was treated with one-stage bilateral video-assisted thoracoscopic+laparoscopic esophagectomy with lymph node dissection and lobectomy with complete lymphadenectomy followed by thymomectomy and demonstrated a favorable response at early follow-up, without severe adverse surgical complications and evidence of local recurrence or distant metastasis...
October 23, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27787481/complications-of-robotic-foregut-surgery-risks-and-advantages
#4
Ran B Luo, Domingo Montalvo, Toshiaki Suzuki, Bryan J Sandler, Garth R Jacobsen, Santiago Horgan
INTRODUCTION: Laparoscopic foregut surgeries are highly complex procedures that carry a high potential for morbidity and mortality should complications should occur. The robotic-assisted platform offers improved visualization of anatomy, optimal fine motor control, and a higher degree of instrumentation range of motion, which may potentially lead to better outcomes. This paper reviews the risks and benefits of the robotic platform in foregut procedures. EVIDENCE ACQUISITION: A web-based literature search was performed, in August 2016 using Pubmed, EMBASE, and Google Scholar from cited English publications from 1996 to 2016...
October 27, 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27783358/robotic-assisted-minimally-invasive-esophagectomy-for-treatment-of-esophageal-carcinoma
#5
Philip W Chiu, Anthony Y Teoh, Vivien W Wong, Hon Chi Yip, Shannon M Chan, Simon K Wong, Enders K Ng
Minimally invasive esophagectomy (MIE) is technically challenging. Da Vinci Robotic system could improve surgical dissection with additional degree of freedom from robotic arms. This study aimed to assess the feasibility and safety of performing MIE using Da Vinci Robotic system among patients with esophageal cancers. From 2009 to 2013, consecutive patients with esophageal cancers who received robotic-assisted MIE were recruited. We excluded tumors with suspected invasion to adjacent organs. Preoperative staging included EUS, CT thorax and abdomen and bronchoscopy...
October 25, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27760953/-a-case-of-laparoscopic-transhiatal-esophagectomy-for-esophageal-cancer-after-chemoradiotherapy
#6
Junji Kawada, Masaya Nishino, Yohei Hosoda, Hiromitsu Hoshino, Miho Okano, Kenichi Nagai, Masaki Okuyama, Yongkook Kim, Toshimasa Tsujinaka
Patients with esophageal cancer often have various comorbidities, and these sometimes limit treatment choices. We report a case of esophageal cancer surgically treated using laparoscopic transhiatal esophagectomy after chemoradiotherapy in an elderly man with interstitial lung disease. A 77-year-old man who had undergone upper gastrointestinal endoscopic examination was admitted to our hospital with a diagnosis of esophageal cancer and interstitial lung disease. We diagnosed T4 esophageal cancer, and administered chemoradiotherapy...
October 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/27743124/don-t-fix-it-if-it-isn-t-broken-a-survey-of-preparedness-for-practice-among-graduates-of-fellowship-council-accredited-fellowships
#7
Yusuke Watanabe, Amin Madani, Elif Bilgic, Katherine M McKendy, Gada Enani, Iman Ghaderi, Gerald M Fried, Liane S Feldman, Melina C Vassiliou
BACKGROUND: General surgery residency may not adequately prepare residents for independent practice. It is unclear; however, if non-ACGME-accredited fellowships are better meeting training needs. The purpose of this mixed-method study was to determine perceived preparedness for practice and to identify gaps in fellowship training. METHODS: A survey was developed using an iterative qualitative methodology based on interviews and focus groups of graduated fellows and program directors...
October 14, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27680067/-application-of-mesoesophagus-suspension-technique-in-upper-mediastinal-lymph-node-dissection-during-thoracoscopic-esophagectomy
#8
Zhenyang Zhang, Qiancheng Song, Jiangbo Lin, Mingqiang Kang
OBJECTIVE: To explore the application of mesoesophagus suspension technique to improve the upper mediastinal lymph node dissection during thoracoscopic esophagectomy in the treatment of esophageal cancer. METHODS: Clinical data of 164 thoracic esophageal cancer patients who underwent combined thoracoscopic and laparoscopic esophagectomy with two-field lymph node dissection in the Union Hospital of Fujian Medical University between October 2012 and June 2015 were retrospectively analyzed...
September 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27680066/-short-term-outcomes-of-robot-assisted-minimally-invasive-esophagectomy-for-esophageal-cancer
#9
Zihui Tan, Xu Zhang, Xinye Wang, Jianhua Fu
OBJECTIVE: To evaluate the feasibility, safety and short-term clinical outcomes of robot-assisted minimally invasive esophagectomy (RAMIE). METHODS: Clinical data of 17 patients with esophageal cancer who received RAMIE between April 2016 and July 2016 were analyzed retrospectively. RESULTS: The age of the patients ranged from 44 to 83. Six patients received neoadjuvant radiochemotherapy while 11 patients underwent surgery alone. All patients were performed by the robot-assisted thoraco-laparoscopic minimally invasive esophagectomy...
September 25, 2016: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/27660245/mortality-after-esophagectomy-is-heavily-impacted-by-center-volume-retrospective-analysis-of-the-nationwide-inpatient-sample
#10
Hans F Fuchs, Cristina R Harnsberger, Ryan C Broderick, David C Chang, Bryan J Sandler, Garth R Jacobsen, Michael Bouvet, Santiago Horgan
BACKGROUND: The effects of hospital volume on in-hospital mortality after esophageal resection are disputed in the literature. We sought to analyze treatment effects in patient subpopulations that undergo esophagectomy for cancer based on hospital volume. METHODS: We performed a retrospective analysis of the Nationwide Inpatient Sample from 1998 to 2011. Patients who underwent open or laparoscopic transhiatal and transthoracic esophageal resection were identified using ICD-9 codes...
September 22, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27568155/robotic-esophagectomy-for-cancer-early-results-and-lessons-learned
#11
Robert J Cerfolio, Benjamin Wei, Mary T Hawn, Douglas J Minnich
Minimally invasive esophagectomy with intrathoracic dissection and anastomosis is increasingly performed. Our objectives are to report our operative technique, early results and lessons learned. This is a retrospective review of 85 consecutive patients who were scheduled for minimally invasive Ivor Lewis esophagectomy (laparoscopic or robotic abdominal and robotic chest) for esophageal cancer. Between 4/2011 and 3/2015, 85 (74 men, median age: 63) patients underwent robotic Ivor Lewis esophageal resection. In all, 64 patients (75%) had preoperative chemoradiotherapy, 99% had esophageal cancer, and 99% had an R0 resection...
2016: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27553792/impact-of-prior-interventions-on-outcomes-during-per-oral-endoscopic-myotomy
#12
Brian E Louie, Andreas M Schneider, Drew B Schembre, Ralph W Aye
BACKGROUND: Per oral endoscopic myotomy (POEM) is performed by accessing the submucosal space of the esophagus. This space may be impacted by prior interventions such as submucosal injections, dilations or previous myotomies. These interventions could make POEM more difficult and may deter surgeons during their initial experience. We sought to determine the impact of prior interventions on our early experience. METHODS: Prospective, single-center study of consecutive patients undergoing POEM...
August 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27541591/hybrid-ivor-lewis-esophagectomy-for-esophageal-cancer
#13
Marco E Allaix, Jason M Long, Marco G Patti
The last 25 years have witnessed a steady increase in the use of minimally invasive esophagectomy for the treatment of esophageal cancer. However, it is unclear which the optimal minimally invasive approach is: totally minimally invasive or hybrid (laparoscopic assisted or thoracoscopic assisted)? The current evidence from nonrandomized control trials suggests that hybrid laparoscopic-assisted esophagectomy couples the benefits of laparoscopy and the advantages of thoracotomy, leading to reduced surgical trauma without jeopardizing survival compared with open esophagectomy...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27495339/preventing-anastomotic-complications-early-results-of-laparoscopic-gastric-devascularization-two-weeks-prior-to-minimally-invasive-esophagectomy
#14
David S Strosberg, Robert E Merritt, Kyle A Perry
BACKGROUND: Laparoscopic gastric devascularization (LGD) is an innovative method to improve gastric conduit perfusion and improve anastomotic healing following esophagectomy. This study reports our early experience with LGD performed two weeks prior to minimally invasive esophagectomy (MIE) with intrathoracic anastomosis. METHODS: We performed a retrospective review of all patients who underwent LGD prior to minimally invasive Ivor Lewis esophagectomy between August 2014 and July 2015 at a large academic medical center...
August 5, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27391556/esophagectomy-for-end-stage-achalasia
#15
Valter Nilton Felix
End-stage achalasia is rarely effectively addressed with conservative treatments, as food must traverse a serpiginous route to reach the stomach. Botox injections in the setting of end-stage achalasia will likely provide minimal temporary palliation at best, pneumatic dilation has higher risks of perforation, and laparoscopic myotomy, while minimally invasive, has presented poor results. Under these circumstances, there are many proposed procedures to restore a viable alimentary condition to patients, from partial to subtotal resection of the esophagus; each of procedures confers both advantages and specific risks...
July 8, 2016: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/27379750/laparoscopic-transhiatal-esophagectomy-for-esophageal-adenocarcinoma-identified-at-laparoscopic-roux-en-y-gastric-bypass
#16
Halle B Ellison, David M Parker, Ryan D Horsley, Daaron McField, Michael E Friscia, Anthony T Petrick
INTRODUCTION: More than one third of Americans are obese. Obesity is a risk factor for gastroesophageal reflux disease (GERD) and esophageal adenocarcinoma (EA). The only durable treatment for morbid obesity and its comorbid conditions is bariatric surgery. There is no consensus among bariatric surgeons, however, regarding the role of preoperative screening upper endoscopy in bariatric surgery. PRESENTATION OF CASE: Two cases of incidental EA were identified by completion EGD following laparoscopic Roux-en-Y gastric bypass (LRYGB)...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27365913/unusual-postoperative-complication-of-minimally-invasive-transhiatal-esophagectomy-and-esophageal-substitution-for-absolute-dysphagia-in-a-child-with-corrosive-esophageal-stricture
#17
D K Kandpal, D K Bhargava, N Jerath, L A Darr, Sujit K Chowdhary
Esophageal substitution in children is a rare and challenging surgery. The minimally invasive approach for esophageal substitution is novel and reported from a few centers worldwide. While detailed report on the various complications of this approach has been discussed in adult literature, the pediatric experience is rather limited. We report the laparoscopic management of a rare complication which developed after laparoscopic esophagectomy and esophageal substitution. The timely recognition and management by the minimally invasive approach have been highlighted...
July 2016: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/27316602/could-hybrid-minimally-invasive-esophagectomy-improve-the-treatment-results-of-esophageal-cancer
#18
M Bjelovic, T Babic, B Spica, D Gunjic, M Veselinovic, G Trajkovic
AIM: To assess the effectiveness of hybrid minimally invasive esophagectomy (hMIE) in comparison with open esophagectomy (OE) in esophageal cancer treatment. METHODS: The single center prospective nonrandom cohort study included a total of 88 patients in convenience sample, who underwent the Ivor-Lewis procedure with a curative intention for the middle- and lower-third esophageal cancer between January 2009 and February 2015. All patients were operated by the one surgical team...
August 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27310399/surgical-method-postoperative-complications-and-gastrointestinal-motility-of-thoraco-laparoscopy-3-field-esophagectomy-in-treatment-of-esophageal-cancer
#19
Jun Wan, Yun Che, Ningning Kang, Renquan Zhang
BACKGROUND The aim of this study was to investigate the surgical method, postoperative complications, and gastrointestinal motility of thoraco-laparoscopic esophagectomy in the treatment of esophageal cancer. MATERIAL AND METHODS Using random sampling method, we selected 132 esophageal cancer patients who were treated in our hospital from January 2012 to December 2014; these patients were regarded as the study group and underwent thoraco-laparoscopy 3-field surgery treatment. Another 108 esophageal cancer patients admitted to our hospital over the same period were regarded as the control group and underwent traditional open McKeown esophagectomy...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27225750/outcomes-of-thoracoscopic-esophagectomy-in-prone-position-with-laparoscopic-gastric-mobilization-for-esophageal-cancer
#20
Hiroyuki Kitagawa, Tsutomu Namikawa, Masaya Munekage, Kazune Fujisawa, Eri Munekgae, Michiya Kobayashi, Kazuhiro Hanazaki
PURPOSE: The aim of this study was to evaluate the short- and long-term outcomes of thoracoscopic esophagectomy performed in the prone position (TSE-PP) followed by laparoscopic gastric mobilization (LGM) compared with open thoracotomy and LGM, for esophageal cancers. METHODS: We reviewed the records of 105 consecutive patients who underwent esophagectomy with LGM for esophageal cancer at Kochi Medical School. Among the study patients, 60 patients underwent TSE-PP, while 45 underwent open thoracotomy (OPEN group)...
August 2016: Langenbeck's Archives of Surgery
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