Pts surviving esophagectomy longer than 10 years were queried as to QOL. Alimentary comfort rating was 9 out of 10. 33% experienced diarrhea, dumping, or regurgitation. 15% had aspiration requiring hospital care. Mean weight loss was 26 lbs. Median GI QOL score was 2.9 out of 4.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Cancer
February 15, 2014
February 10, 2014
The CROSS trials randomized pts with esophageal cancer or GEJ cancer to surgery vs induction chemoradiotherapy (CRT) followed by surgery. Prior studies reported a significant improvement in survival and freedom from recurrence associated with induction therapy.
February 6, 2014
The authors hypothesized that examination of more lymph nodes resulting from lung resection for NSCLC would result in fewer missed nodal metastases and be associated with better survival related to more accurate staging. Based on nearly 25,000 pts from SEER, they found the median number of nodes examined was only 6.
January 27, 2014
This video examines the example of two similar operations performed in a hospital in Spain and a hospital in Brazil, using the same uniportal VATS technique. The purpose of this video is to demonstrate how the approach by uniportal VATS offers a direct view of the hilum, giving a clear and safe view of the fissure from its anterior and most inferior aspect.
January 23, 2014
The authors removed chest tubes after video-assisted thoracic surgery (VATS) lobectomy with serous fluid production up to 500 ml/day in 622 patients. Of them, 17 (2,8%) needed reinterventions due to recurrent pleural effusion. There was no association to the postoperative day of tube removal.
January 21, 2014
The resection of locally advanced lung cancer is generally accomplished with thoracotomy. When possible, the authors use a hybrid approach. This video illustrates two cases of invasive right upper lobe tumors. VATS exploration through a standard anterior, two-incision, approach directs a secondary counter incision.
January 14, 2014
Since video-assisted thoracoscopic surgery (VATS) was described for anatomic lobectomies, many technical variations have been published. The uniportal technique, which enables the entire procedure to be performed through a single port, was recently introduced. This video shows a uniportal VATS lobectomy for lung cancer treatment.
December 4, 2013
This video demonstrates the treatment of esophageal squamous cell carcinomas through high intrathoracic circular anastomosis using a thoracoscopic technique.
November 26, 2013
Uniportal VATS is a safe approach for removing central tumors, but sometimes requires more extensive resections. This video highlights the feasibility of a right upper and middle bilobectomy with a tangential angioplasty of the pulmonary artery in the fissure.
November 7, 2013
Uniportal VATS is a useful approach to perform wedge resections of intraparenchymal pulmonary nodules without diagnosis and to carry out a lobectomy in cases of non-small cell lung cancer with totally incomplete fissures.