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Esophagus

October 6, 2017
Tapias and colleagues find that the surgical management of epiphrenic diverticula can provide good results, with symptoms being resolved in 21 of 31 patients. The authors’ retrospective review confirmed the rarity of this condition, with fewer than one case per year over 40 years.
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 16, 2017
In this video, the authors demonstrate a novel “side-to-side, staple line on staple line” technique for intrathoracic esophagogastric anastomoses.
August 11, 2017
Patient Care A heart team at Kingston Health Sciences Centre in Ontario performs the first hybrid cardiac ablation for atrial fibrillation in Canada.
June 30, 2017
Thornblade and colleagues report an increase in off-label esophageal stent usage to treat benign esophageal perforation between 2007 and 2014, with a concomitant decrease in surgical repair and no difference in surgical drainage. Despite increased use of stents, no significant changes in short-term outcomes were observed.
November 17, 2016
In an interview filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, Daniela Molena discusses her approach to minimally invasive and robotic esophageal surgery.
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
April 8, 2016
This video provides an introduction to an online course designed to accelerate surgical skill acquisition prior to on-site surgical simulation workshops in developing countries.
April 6, 2016
Doug Mathisen reflects on his three decades of practice in a new interview that was filmed at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom.
January 12, 2016
30-day and 90-day mortality rates were compared using information from the National Cancer Data Base 2007-2011.  Among nearly 16,000 esophagectomies, the 30-day mortality rate was 4.2% and the 90-day rate was 8.9%.  90-day mortality was uniquely associated with tumor location, tumor stage, and receipt of neoadjuvant therapy.

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