Recent Advances in Minimally Invasive Esophagectomy

Achim, Florin; Constantinoiu, S

doi:10.21614/chirurgia.113.1.19

Cited by 5 publications

(5 citation statements)

References 78 publications

(79 reference statements)

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“…Introduction of minimally invasive techniques (MIT) to oesophageal surgery raised the question of whether it should be the method of choice (29)(30)(31). Minimally invasive procedures reduce operative trauma, facilitates less postoperative pain and shorter lengths of stay (11,32,33). The biggest available meta-analysis by Yibulayin et al consisting 57 studies including 15,790 patients proved the superiority of minimally invasive esophagectomy over an open approach in terms of post-operative complications and mortality (34).…”

Section: Operative Proceduresmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) programs for esophagectomy

Rubinkiewicz¹,

Witowski²,

Su³

et al. 2019

J. Thorac. Dis

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A perioperative treatment protocol, enhanced recovery after surgery (ERAS) focuses on accelerating patient recovery. Previous studies confirmed that ERAS decreases surgical trauma and the stress response, which improved outcomes including reduced length of hospital stay (LOS) and decreased postoperative morbidity. While ERAS protocols have been successfully implemented in a variety of surgical disciplines (colorectal, bariatric, orthopedic, and gynecologic surgery), its use in esophageal surgery is still limited. This paper analyzes the feasibility and value of the ERAS protocol for esophageal surgery. Reviewing the literature found that implementation of ERAS resulted in decreased costs, length of stay and pulmonary specific complication reduction, but not overall morbidity. The evidence lacks randomized control trials. Further, the ERAS Society published recommendations for esophageal resection. This opportunity for unification of the protocol would make the studies more comparable and leads to stronger conclusions. Surgery specific items also require further confirmation. Nonetheless, the successful introduction of the ERAS protocol into a wide variety of surgical disciplines provides optimism for ERAS's effectiveness in esophageal surgery.

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Section: Operative Proceduresmentioning

confidence: 99%

Enhanced recovery after surgery (ERAS) programs for esophagectomy

Rubinkiewicz¹,

Witowski²,

Su³

et al. 2019

J. Thorac. Dis

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“…The treatment of esophageal cancer has become more effective due to advances in surgical techniques, multidisciplinary approaches, and the appropriate use of neoadjuvant therapy at centers of excellence in esophageal surgery. 13 Esophageal cancer with liver cancer is rare. Therefore, the combination of immunotherapy with other treatment modalities, such as TACE, surgery, particle therapy, and timing of combined treatment modalities, is being actively explored to maximize the therapeutic benefits of immunotherapy.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary treatment of esophageal cancer with hepatocellular carcinoma: A case report

Jiang,

Li,

Liu

et al. 2024

SAGE Open Medical Case Reports

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Cancer remains a major cause of death globally. Esophageal cancer is one of the most aggressive malignancies and has limited treatment options, thus resulting in high morbidity and mortality. We reported the case of a 65-year-old patient who came to the hospital for abdominal distension and loss of appetite. The patient’s endoscopy before admission indicated the possibility of esophageal cancer. After admission, an enhanced computed tomography (CT) scan of the chest and abdomen revealed esophageal stenosis and a liver tumor. The patient’s final diagnosis was esophageal cancer concurrent with liver cancer, and a series of treatments were administered. However, esophageal cancer with liver cancer is rare. The patient was treated with targeted therapy, immunotherapy, and transcatheter arterial chemoembolization simultaneously. Then, regular follow-up was performed at 1 month, and at 3 months, the patient was discharged after immunotherapy. We hope that through this case, we can improve the clinical understanding of these two types of tumors and thereby contribute to their treatment. Research and collaboration among health-care professionals are essential for improving tumor diagnosis and treatment.

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“…Unlike the rest of the digestive tract, the esophageal mucosa being a non-keratinized stratified squamous epithelium is a good material for anastomosis. The anastomosis must be wide enough to prevent anastomotic stenosis following the healing process (40).…”

Section: Discussionmentioning

confidence: 99%

Use of the Stomach in Esophageal Reconstructive Surgery in Era of Minimally Invasive Approach

Constantinoiu¹,

Achim²,

Constantin³

2018

chr

Self Cite

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Esophagectomy is standard indication for surgical treatment of resectable esophageal cancer, but it can also be performed for the management of benign conditions. Esophagectomy is followed by esophageal reconstruction using other parts of the digestive tract and is associated with increased postoperative morbidity and mortality. Gastric interposition with intrathoracic or cervical esophago-gastric anastomosis is currently the preferred technique for reconstruction after esophagectomy. The incidence of esophagectomy performed by the minimal invasive approach has increased in recent years due to the advanced technology of endoscopic surgery and image enhancement that provides a better estimate of anatomical plans, facilitates access to narrow spaces and more precise dissection with less tissue trauma. Randomized clinical trials have found a significant reduction in postoperative respiratory complications, decreased hospital stay and equivalent oncological results to open esophagectomy. We present the operative technique of minimally invasive esophagectomy performed in our clinic by three-stage modified McKeown approach thoracoscopic, laparoscopic and cervical with esophageal reconstruction with stomach.

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Recent Advances in Minimally Invasive Esophagectomy

Cited by 5 publications

References 78 publications

Enhanced recovery after surgery (ERAS) programs for esophagectomy

Enhanced recovery after surgery (ERAS) programs for esophagectomy

Multidisciplinary treatment of esophageal cancer with hepatocellular carcinoma: A case report

Use of the Stomach in Esophageal Reconstructive Surgery in Era of Minimally Invasive Approach

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