introduction: esophageal cancer is a common gastro intestinal malignancy. one of the most common techniques of surgery in esophageal cancer is transhiatal esophagectomy with esophagogastric anastomosis in the neck. this technique is accompanied by complications like chronic gastero-esophegeal reflux and late stenosis. this study was designed to compare the risk of complications after two surgic...

abstract   background : although, different studies on end-to-side nerve repair, results are controversial. the importance of this method in case is unavailability of proximal nerve. in this method, donor nerves also remain intact and without injury. in compare to other classic procedures, end-to-side repair is not much time consuming and needs less dissection. overall, the previous studies in ...

Background: : Radiotherapy is an important factor which results in increase of anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis with history of neo-adjuvant radiotherapy to decrease the chance of leakage. Considering this effect, we assessed the feasibility and outcome of human amniotic membrane in rectal anastomosis in dogs previously treate...

Over decades, the total mesorectal excision (TME) has become the standard technique for rectal cancer surgery [1]. Recently, through advances in technology and surgical technique, the TME has been performed by using laparoscopic and robotic techniques rather than an open technique. Recent randomized clinical trials comparing a laparoscopic TME with an open TME have shown better short-term outco...

Background: Radiotherapy is one of the most important factors which results in negative effects on wound healing and increases anastomosis leakage. Diverting loop ileostomy has been usually performed after colorectal anastomosis in cases of colorectal cancer with a history of neoadjuvant radiotherapy to decrease the chance of leakage. Considering the side effects of diverting loop ileostomy, th...

introduction: replacement of esophagus can be accomplished using different parts of the gastrointestinal tract, in various positions and in single and multiple stages. the aim of this study is to present the results of gastric tube interposition in children with congenital esophageal anomalies and severe acquired esophageal stricture.   material and methods: this series describes 22 patients wh...

spread due to lymphatic blockage, in which case the establishment of the SLN concept seems to be not that easy [4, 5]. This paper is well organized only experimentally when it comes to the purpose of the study, but I doubt that this study contributes to the clinical usefulness of the SLN for rectal cancer treatment. We have different situations in rectal cancer that we should consider. First, t...

OBJECTIVE To determine how many cases are required to achieve technical proficiency for hand-assisted laparoscopic surgery (HALS). DESIGN Retrospective study. SETTING Tertiary care hospital. PATIENTS Using a prospective database, all HALS colorectal resections from 2003 to 2009 by 2 surgeons (A and B) were reviewed. Over 6 years, surgeons A and B performed 397 and 322 cases. INTERVENTIO...