BACKGROUND The optimal operative approach for carcinoma at the lower esophagus and esophagogastric junction remains controversial. The aim of this study was to assess a single unit experience of transhiatal esophagectomy in an era when the use of systemic oncological therapies has increased dramatically. STUDY DESIGN Between January 2000 and November 2006, 215 consecutive patients (182 males,...

OBJECTIVE Esophagectomy is an operation with high morbidity and mortality. Its adoption as a minimally invasive operation worldwide has been slow, but the potential benefits of reducing the trauma of surgery need to be considered. Our 30-month experience with transhiatal esophagectomy in a district general hospital is presented herein. METHODS Patients were considered for surgery after radiol...

conclusions our data showed that the amount of hydration, transfusion, pre-manipulation arrhythmia, and pulmonary function should be controlled to decrease the risk of arrhythmias. minor mediastinal manipulation, few intraoperative hemorrhages, improvement of pulmonary function, and careful blood pressure monitoring can reduce the risk of hypotension. patients and methods in this prospective st...

introduction: although surgery is the corner stone of treatment for esophageal cancer, there have been widespread efforts to find new methods of treatment .therefore, neoadjuant crt certainly increases the rate of resectability and 3 years survival .in our research, we reviewed effects of neoadjuant rct on short-term complications and hospital mortalities. materials & methods: 114 cases of esop...

Abstract Background Benign anastomotic strictures (BAS) are a known risk of oesophageal resection, leading to significant post-operative morbidity and reported incidence BAS varies widely from 8.83% 42.38%. This review aims assess incidence, factors for development as well treatment. Methods An electronic search using specific terms Medline, Embase the Cochrane Library identify all articles stu...

BACKGROUND The objective of this study is to describe the system and technical factors that enabled our moderate size transhiatal esophagectomy program to achieve low mortality rates. METHODS A retrospective chart review was conducted on 200 consecutive patients who underwent transhiatal esophagectomy at Robert Wood Johnson University Hospital. Primary outcomes included operative times, estim...

Patients with esophageal cancer often have various comorbidities, and these sometimes limit treatment choices. We describe a patient with stage IA esophageal cancer accompanied by interstitial lung disease (ILD). Endoscopic resection and radiotherapy were not appropriate because of clinically diagnosed submucosal invasion and the patient was at high risk of ILD exacerbation. We therefore select...