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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Implementation of Minimally Invasive Esophagectomy From a Randomized Controlled Trial Setting to National Practice
June 27, 2020
June 5, 2020
The authors compared surgically managed signet ring cell adenocarcinoma and esophageal adenocarcinoma patients in the National Cancer Database.
February 25, 2020
Leanne Harling interviews Daniela Molena about her approach to minimally invasive and robotic esophageal surgery.
February 11, 2020
In this retrospective study of 1760 patients undergoing esophagectomy for cancer at Memorial Sloan Kettering, isolated brain metastases occurred in 2% during follow-up. More than half of those developed within one year of resection. Response to induction therapy was associated with long-term survival in these patients.
January 3, 2020
Using the NCDB, the authors evaluated outcomes for patients with T4a esophageal adenocarcinoma. Receipt of surgery, compared to definitive chemoradiotherapy, offered a significant benefit to overall survival (HR 0.26).
December 19, 2019
A medium-size RCT on the growing research question of efficacy of peroral myotomy for achalasia, with a 17% failure to improve symptoms in the peroral endoscopic myotomy (POEM) arm, is discussed in this article.
November 26, 2019
A deep-learning computer aided detection (CAD) system was trained to recognize neoplasia using nearly 500,000 endoscopic images. In head-to-head testing against experienced gastroenterologists using additional images, the accuracy of CAD in diagnosing neoplasia was 88% vs 73% for the gastroenterologists.
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.
Routine Intraoperative Jejunostomy Placement and Minimally Invasive Esophagectomy: An Unnecessary Step?
November 1, 2019
Commonly, a jejunostomy is placed during esophagectomy. In this report including 188 patients, the impact of jejunostomy on outcomes after esophagectomy was examined. Jejunostomy lead frequently (7%) to jejunostomy-related complications and did not reduce the risk of postoperative weight loss.
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.