Patient Care and General Interest
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Esophageal Cancer - Surgery
July 27, 2018
July 17, 2018
Barbetta and colleagues retrospectively reviewed outcomes for 80 patients with T2N0 esophageal adenocarcinoma, staged by endoscopic ultrasound (EUS) and treated by surgery alone. EUS staging was inaccurate in the majority of patients, and final pathologic staging found nodal disease in 35% of patients.
June 20, 2018
The author details tips and tricks to help practicing surgeons complete a minimally invasive esophagectomy.
April 13, 2018
This retrospective analysis of salvage esophagectomy after definitive chemoradiotherapy in 308 patients identified increased mortality and morbidity associated with squamous histology and radiation dose >55 Gy. Survival at three years was 34%.
April 13, 2018
Patient Care
Michael Mack and Alec Vahanian discuss the state and future of transcatheter mitral valve replacement.
March 13, 2018
Reddy and colleagues evaluated oral, esophageal, and gastric microbial flora in 55 patients who underwent successful esophagectomy for adenocarcinoma, squamous cell carcinoma, or benign disease. The authors did not observe significant patterns between microbiome diversity and tumor stage or histology.
January 23, 2018
Miller and colleagues retrospectively compared anastomotic integrity with pleural amylase levels (PAL), measured daily from postoperative day 3-10 after an Ivor Lewis esophagectomy. Three of 45 patients had an anastomotic leak, each of which coincided with a large increase in their PAL.
January 10, 2018
The authors review their clinical experience with management of postoperative chylothorax among 97 patients. They favor duct ligation over embolization, and recommend intervention in patients with outputs greater than 1,100/day.
October 20, 2017
Helminen and colleagues employ near-infrared imaging as a novel technique for lymphatic mapping in minimally invasive esophagectomy of distal esophageal cancer. Indocyanine green dye was injected endoscopically and used to identify nodal stations outside of the en bloc resection area.
September 27, 2017
This article describes an entirely hand-sewn VATS intrathoracic esophagogastric anastomosis technique in a 64-year-old woman with a T2N0M0 adenocarcinoma of the lower third of the esophagus.