Surgical treatment of esophageal cancer is substantially invasive and often entails some postoperative complications. Perioperative management for patients with liver cirrhosis involves great difficulties. Recently, we conducted an esophagectomy for the treatment of superficial esophageal cancer in a 52-year-old male patient with liver cirrhosis and esophageal varices, with gratifying results. ...

ALI Acute lung injury ARDS Acute respiratory distress syndrome COPD Chronic obstructive pulmonary disease CT Computerized tomography CXR Chest X-ray (radiograph) DLT Double lumen endotracheal tube(s) ECG Electrocardiogram EGD Esophagogastroduodenoscopy EUS Endoscopic ultrasound GDFT Goal-directed fluid therapy GERD Gastroesophageal reflux disease LEA Lumbar epidural analgesia LES Lower esophage...

OBJECTIVE To review the authors' clinical experience with transhiatal esophagectomy (THE) and the refinements in this procedure that have evolved. BACKGROUND Increased use of THE during the past two decades has generated controversy about the merits and safety of this approach compared with transthoracic esophageal resection. The authors' large THE experience provides a valuable basis for ben...

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...

Esophagectomy is the main treatment for esophageal cancer. The 2 histologic subtypes of esophageal cancer are squamous cell carcinoma and adenocarcinoma; these subtypes have different biologic features and treatment strategies. Although the prognosis of patients treated with surgery alone remains unsatisfactory, neoadjuvant therapy helps to improve outcome. A meta-analysis revealed that neoadju...

Background. Minimally invasive esophagectomy (MIE) techniques offer similar oncological and surgical outcomes to open methods. The effects of MIE on hospital costs are not well documented. Methods. We reviewed the electronic records of patients who underwent esophagectomy at a single academic institution between January 2012 and December 2014. Esophagectomy techniques were grouped into open, hy...