BACKGROUND Minimally invasive transhiatal esophagectomy for esophageal cancer includes mediastinoscopic and laparoscopic transhiatal esophagectomy. It is inadequate in both two techniques. It is impossible to dissect the lower esophagus with single mediastinoscopy or the upper and middle esophagus with single laparoscopy. We use mediastinoscopy combined with laparoscopy to dissect the whole eso...

The purpose of this retrospective study was to investigate the value of minimally invasive esophagectomy (combined thoracoscopic-laparoscopic esophagectomy) for esophageal squamous cell carcinoma in elderly patients (≥70 years). From January 2009 to December 2014, 58 consecutive patients aged older than 70 years with clinical stage stage I or II esophageal squamous cell carcinoma underwent mini...

BACKGROUND The rate of occult adenocarcinoma at esophagectomy in patients with Barrett's esophagus (BE) and high-grade dysplasia (HGD) has been reported to be approximately 40%. Recently, it has been suggested that this risk may be overestimated. OBJECTIVE Our purpose was to determine the rate of submucosal invasive adenocarcinoma in patients undergoing esophagectomy for BE after biopsy diagn...

BACKGROUND Diaphragmatic hernia is a potential complication of esophagectomy, which usually occurs as a hiatal hernia and more frequently after minimally invasive esophagectomy. Parahiatal hernia is a rare form of diaphragmatic hernia, and to the best of our knowledge, parahiatal hernia after esophagectomy has not been previously reported. Here, we report a case of parahiatal hernia after esoph...

Background: In 2003, robot-assisted minimally invasive esophagectomy (RAMIE) was first reported to overcome the technical limitations of esophagectomy. RAMIE requires repeated modifications set up robotic system, and sufficient experience is required gain proficiency. This study aimed identify learning periods outcomes for esophageal carcinoma.

BACKGROUND Controversy exists about the best surgical treatment for esophageal carcinoma. METHODS We randomly assigned 220 patients with adenocarcinoma of the mid-to-distal esophagus or adenocarcinoma of the gastric cardia involving the distal esophagus either to transhiatal esophagectomy or to transthoracic esophagectomy with extended en bloc lymphadenectomy. Principal end points were overal...

BACKGROUND A number of case reports have described the application of minimally invasive surgical techniques to accomplish esophagectomy. However, most reports have employed thoracoscopic or laparoscopic techniques to perform esophagectomy in addition to an "access" incision which often approaches a standard laparotomy or thoracotomy. CASE REPORT This report describes a total laparoscopic tra...

results the mean duration of esophagectomy was 70 minutes and the total operation 180 minutes. the mean amount of bleeding during surgery was 250 cc. conversion to open approach occurred only in one patient out of 15. no cases of anastomotic leakage or pneumonia was observed. also, no case of mortality was reported. patients and methods this is a prospective study of 15 selected patients who un...

introduction: transhiatal esophagectomy is a widely accepted approach for palliative resection of subcarinal esophageal cancers. this study was designed to evaluate the necessity of routine thoracostomy tube insertion in this technique.  methods: this descriptive study was conducted on 123 consecutive patients with esophageal cancers undergoing transhiatal esophagectomy from march 2001 to febru...

Diaphragmatic hernias occur in up to 2% of patients after esophagectomy with gastric pull-up, and the surgical repair in the setting of a previous esophagectomy is a challenge with high complication rates, in particular with regards to the gastric conduit and its critical vascular supply. We describe two cases and the technique of minimally invasive, laparoscopic repair of diaphragmatic defects...