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Esophagus - Cancer

August 22, 2017
The authors compare outcomes of open versus minimally invasive esophagectomy (OE, MIE) from the National Cancer Databased (NCDB) 2010-2012 and use propensity scoring to match patients (977 pairs).  Short term outcomes were equivalent for LOS and mortality, and median survival was similar.  Nodal removal was higher for MIE (16.3 vs 14.5). 
August 18, 2017
Patient Care Several private hospitals in Kolkata, India, have applied for licenses to perform heart and lung transplants in a region underserved for transplant of these organs.
August 16, 2017
In this video, the authors demonstrate a novel “side-to-side, staple line on staple line” technique for intrathoracic esophagogastric anastomoses.
January 9, 2017
In this video, the authors show the the McKeown esophagectomy technique utilized for patients with mid and distal esophageal cancers.
November 23, 2016
This retrospective single institution study evaluated the relationship between radiation dose to the gastric fundus and the incidence of esophageal anastomotic leak after esophagectomy for cancer.  The leak rate was 26%.  Pts with a leak had a significantly higher RT dose to the gastric fundus.  Using a cut point of 31.4 Gy, leak rates were 43% vs 15
October 15, 2016
All patients undergoing surgical therapy for esophageal or gastric cancer in France 2010-2012 were evaluated for postoperative mortality stratified by comorbidity score and assessed by medical center volume (low, medium, high, very high).  Most operations were performed in low volume centers.
October 15, 2016
The authors explored the relationship of nodal region and survival from adenocarcinoma of the esophagus/GEJ in patients undergoing induction therapy and transthoracic resection.
October 15, 2016
In this retrospective review, the authors queried whether a hiatal hernia (HH; >5cm) was associated with adverse outcomes after esophagectomy for cancer.  After adjustment, they found that HH patients had a lower rate of complete resection and  lower median survival.
May 5, 2016
In this multicenter study, baseline QOL was assessed in over 200 patients with stage II or III esophageal cancer who underwent induction therapy and surgery or definitive chemoradiotherapy.  Baseline QOL was related to survival independent of age, stage, histologic type, and treatment.  It is suggested that assessment of baseline QOL is a prognostic
April 12, 2016
Whether adding radiotherapy to induction chemotherapy prior to esophagectomy adds a survival benefit is uncertain.  The authors assessed outcomes of 214 patients with T3N1M0 adenocarcinoma among three institutions who underwent induction therapy followed by esophagectomy.   114 patients had chemotherapy and 100 patients had chemoradiotherapy.  90-day

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