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...

Abstract Background Perforation of oesophagus and stomach during paraoesophageal hernia (POH) repair can be caused by traction on the lower oesophagus, gastro-oesophageal junction (GOJ) fundus, or a thermal injury from energy device dissection. Iatrogenic complete transaction elective laparoscopic POH is extremely rare. Here we reported this unusual complication. Methods A 79-year-old man with ...

Dear Editor, Oesophageal duplication cysts are rare congenital maldevelopments of the posterior primitive foregut and mostly present in childhood.1 Patients usually present with dysphagia and sometimes chest discomfort. Complete surgical excision is the standard treatment. In this case report, we describe a laparoscopic transperitoneal approach to surgical excision of a duplication cyst of the ...

3 lIson DH. New developments in the treatment of oesophageal cancer. Curr Oncol Rep 2002;4:213-21. 4 Entwistle JW 3rd, Goldberg M. Multimodality therapy for resectable cancer of the thoracic esophagus. Ann Thorae Surg 2002;73:1009-15. 5 Kelsen DP, Ginsberg R, Pajakj TF, Sheahan DG, Gunderson L, Mortimer J, et al. Chemotherapy followed by surgery compared with surgery alone for localized oesopha...

We report an obese patient who was initially scheduled for laparoscopic Roux-en-Y gastric bypass, but who was subsequently diagnosed preoperatively with Barrett carcinoma. After incomplete endoscopic mucosectomy, laparoscopic oncologic resection (transhiatal extended cardia resection) combined with bariatric reconstruction was performed. Sufficient complication management of a small anastomotic...

BACKGROUND Neoadjuvant chemoradiation might increase anastomotic leakage and stenosis in patients with esophageal cancer treated with neoadjuvant chemoradiation and esophagectomy. The aim of this study was to determine the influence of radiation dose on the incidence of leakage and stenosis. METHODS Fifty-three patients with esophageal cancer received neoadjuvant chemoradiation (23 × 1.8 Gy) ...