The previous randomized study of minimally invasive esophagectomy vs open esophagectomy (TIME trial) conducted in the Netherlands demonstrated reduced pulmonary complications and LOS with MIE. Compared to the benefits of MIE in those selected high volume centers, national use of MIE was associated with increased overall complications, increased pulm
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Esophageal Cancer - Surgery
Implementation of Minimally Invasive Esophagectomy From a Randomized Controlled Trial Setting to National Practice
June 27, 2020
November 2, 2019
A batch of staplers manufactured in July-August 2019 and distributed during August-September 2019 has been recalled. Seven serious injuries and one death are reported to have been associated with failure of this device.
October 24, 2019
The National Cancer Database was queried regarding esophageal squamous cancer cases from 2004-2013, and over 11,000 patients were identified. Definitive chemoradiotherapy was used in 79%, whereas resection was employed in 21% at some phase of therapy.
August 22, 2019
In this multiinstitutional retrospective study, administration of adjuvant chemotherapy for patients with persistent nodal disease after induction therapy and esophagectomy was associated with improved survival.
Association of Discretionary Hospital Volume Standards for High-Risk Cancer Surgery With Patient Outcomes and Access, 2005-2016
August 15, 2019
Regionalization of care for complex problems remains an open question in most countries. This review demonstrated that, for high risk cancer operations in the US, the Leapfrog group's volume standards did not differentiate between surgical mortality outcomes for lung and esophageal cancer surgery.
April 17, 2019
Dr Burt gives a brief overview of the considerable advances for patients with thoracic malignancies (non–small cell lung cancer in particular).
Using Intestinal Segments During Secondary Salvage Procedures After Failed Reconstructions of the Cervical Esophagus
February 14, 2019
Yang and colleagues investigated the use of intestinal flaps for the reconstruction of the cervical esophagus. They reviewed 22 patients with intestinal segments used to salvage failed primary esophagus reconstruction. There was one case of flap failure.
January 23, 2019
Stiles and colleagues evaluated outcomes for patients with esophageal cancer undergoing surgical resection after either neoadjuvant chemoradiation or preoperative chemotherapy without radiation.
January 18, 2019
Mariette and colleagues randomly assigned 207 patients with resectable esophageal cancer to undergo either transthoracic open esophagectomy or hybrid minimally invasive esophagectomy.
August 31, 2018
Grimminger and colleagues present their technique for a four-armed robotic approach to esophageal cancer surgery. The authors note the improved control and dexterity offered by the addition of the fourth arm, leading to greater surgeon independence in this complex procedure.