Total three-stage oesophagectomy for cancer of the oesophagus

McKeown, K. C.

doi:10.1002/bjs.1800630403

Cited by 236 publications

(121 citation statements)

References 2 publications

Supporting

Mentioning

113

Contrasting

Unclassified

Order By: Relevance

“…Similar to open esophagectomy, MIE can consist of transhiatal esophagectomy (8), McKeown esophagectomy (9) or Ivor Lewis esophagectomy (10), but Ivor Lewis or McKeown procedures are usually performed since they allow adequate thoracic lymph node dissection (11,12). In patients with esophageal tumors above the level of the carina, an Ivor Lewis procedure is unfeasible because it might compromise adequate resection margins.…”

Section: Introductionmentioning

confidence: 99%

McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

Workum¹,

Berkelmans²,

Klarenbeek³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Conclusions: TMIE Ivor Lewis is associated with improved outcome regarding RLN trauma, hospital length of stay and blood loss as compared to TMIE-McKeown, but the incidence of anastomotic leakage is not different. The evidence is limited, of low quality and at risk for bias. A randomized controlled trial is currently being performed in order to demonstrate whether a McKeown or Ivor Lewis procedure should be preferred in patients undergoing MIE.

show abstract

Section: Introductionmentioning

confidence: 99%

McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

Workum¹,

Berkelmans²,

Klarenbeek³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

show abstract

“…Os demais casos foram realizadas esofagectomias com toracotomia conforme a técnica de McKeown 20 . O estômago foi o órgão preferencialmente utilizado para a reconstrução do trato digestivo (95 % dos casos), na forma de tubo gástrico.…”

Section: Métodosunclassified

Terapêutica neo-adjuvante aumenta as complicações pós-operatórias da esofagectomia?

Tercioti

Lopes

Coelho-Neto

et al. 2010

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

RESUMO -Racional -O câncer de esôfago é o oitavo tipo de câncer mais incidente na população no mundo, sendo que no Brasil são estimados 10.630 novos casos para o ano de 2010. Na terapêutica curativa, a esofagectomia destaca-se nas suas mais diversas modalidades de tratamento. Objetivo -Avaliar por meio de um estudo retrospectivo não-randomizado as complicações peri-operatórias dos pacientes submetidos à esofagectomia por carcinoma epidermóide do esôfago, com ou sem terapêutica neoadjuvante.

show abstract

“…Despite this initial success only 2 of the subsequent 25 patients survived the postoperative period (2). Fortunately, in the following century the desperately needed technical innovation resulted in acceptable postoperative survival and quality of life (3)(4)(5)(6)(7)(8)(9). The most recent development was the minimally invasive transthoracic esophagectomy (8).…”

Section: Introductionmentioning

confidence: 99%

New insights into the surgical anatomy of the esophagus

Weijs¹,

Ruurda²,

Luyer³

et al. 2017

J. Thorac. Dis.

View full text Add to dashboard Cite

Implementation of (robot assisted) minimally invasive esophagectomy and increased knowledge of the relation between the autonomic nervous system and the immune response have led to new insights regarding the surgical anatomy of the esophagus. First, two layers of connective tissue were identified; the aorto-esophageal and aorto-pleural ligaments that separate the peri-esophageal compartment, containing vagus nerves, carinal lymph nodes and trachea, from the para-aortic compartment; containing thoracic duct and azygos vein. Second the surgical anatomy of the pulmonary vagus nerve branches has been described in detail. Based on the hypothesis that sparing the vagal nerve branches may be important a method to spare the pulmonary branches of the vagus nerve during thoracoscopic esophagectomy was validated in a cadaver study. Further studies will now investigate the impact of these new insights in the surgical anatomy of the esophagus in clinical practice.

show abstract

Total three-stage oesophagectomy for cancer of the oesophagus

Abstract: The technique of total three-stage oesophagectomy is described fully. Points of detail in the procedure of the abdominal, thoracic and cervical phases are emphasized. A brief note is made regarding the management of the respiratory situation at the end of the operation.

Cited by 236 publications

References 2 publications

McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

Terapêutica neo-adjuvante aumenta as complicações pós-operatórias da esofagectomia?

New insights into the surgical anatomy of the esophagus

Contact Info

Product

Resources

About