The authors compare outcomes of open versus minimally invasive esophagectomy (OE, MIE) from the National Cancer Databased (NCDB) 2010-2012 and use propensity scoring to match patients (977 pairs). Short term outcomes were equivalent for LOS and mortality, and median survival was similar. Nodal removal was higher for MIE (16.3 vs 14.5).
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Esophagus
August 22, 2017
August 18, 2017
Patient Care
Several private hospitals in Kolkata, India, have applied for licenses to perform heart and lung transplants in a region underserved for transplant of these organs.
August 16, 2017
In this video, the authors demonstrate a novel “side-to-side, staple line on staple line” technique for intrathoracic esophagogastric anastomoses.
August 11, 2017
Patient Care
A heart team at Kingston Health Sciences Centre in Ontario performs the first hybrid cardiac ablation for atrial fibrillation in Canada.
June 30, 2017
Thornblade and colleagues report an increase in off-label esophageal stent usage to treat benign esophageal perforation between 2007 and 2014, with a concomitant decrease in surgical repair and no difference in surgical drainage. Despite increased use of stents, no significant changes in short-term outcomes were observed.
June 15, 2017
Prospective observational cohort study of 106 patients undergoing repair of giant paraesphageal hernia (GPEH) with near complete follow-up at 1 year. Outcomes measured at the first postoperative visit and at one year were radiographic recurrence, patient satisfaction and GERD-HRQL score.
June 8, 2017
This video demonstrates a left video-assisted thoracoscopic enucleation of a giant horseshoe esophageal leiomyoma, and management of an inadvertent mucosal tear during enucleation.
June 6, 2017
This video shows the laparoscopic approach for Heller myotomy and Dor fundoplication, combined with an epiphrenic diverticulectomy in a 66-year-old patient.
May 27, 2017
In this single site retrospective review, outcomes of repair of giant paraesophageal hiatal hernia were reviewed with respect to the effects of patient age. Patients aged 80 or greater had greater comorbidity at the time of surgery, more often had Type IV hernias, and underwent emergency intervention more often. The incidence of postoperative compl
April 17, 2017
In a retrospective review of patients undergoing esophagectomy at two high volume centers, the incidence of hiatal hernia was 5% - 10%. The incidence did not differ between open and MIE approaches. Two-thirds of the hernias were discovered incidentally, although half of those patients were symptomatic.