Commentary: The cervical esophagogastric anastomosis: Augmenting training through simulation
نویسندگان
چکیده
منابع مشابه
Mechanical cervical esophagogastric laterolateral anastomosis after esophagectomies.
Among the challenges of esophagectomies, the cervical anastomosis remains challenging for its consequences, the main being the anastomotic stricture. The authors present a technique for an Orringer-fashion mechanical cervical laterolateral esophagogastric anastomosis, which reduces the rate of fistula and stenosis.
متن کاملStapled versus hand-sewn cervical esophagogastric anastomosis in patients undergoing esophagectomy: A Retrospective Cohort Study
INTRODUCTION Anastomotic leak is one of the main causes of morbidity following esophageal resection for carcinoma of the esophagus and gastroesophageal junction. We compared hand sewn and stapled cervical esophagogastric anastomotic techniques in terms of postoperative complications. METHODS All patients who underwent esophagectomy with cervical esophagogastric anastomosis at a single academi...
متن کامل[Cervical esophagogastric anastomosis evaluation with a mechanical device versus manual suture in patients with advanced megaesophagus].
OBJECTIVES The aim of the study is to evaluate cervical esophagogastric anastomosis complications between mechanical device versus manual suture. METHOD Thirty patients with megaesophagus with grade III/IV submitted to the esophagectomy transmediastinal approach were reviewed with average age from 31 to 68 years. The reconstruction was performed by gastric transposition and with anastomosis i...
متن کاملTraining Clinical Decision-Making through Simulation
Clinical decision making faces relevant uncertainties, outcomes and trade-offs. It has to deal with diagnosis uncertainties, the choice of diagnostic tests, the selection of prescriptions and procedures, and the treatment follow up, many times facing severe budget limitations and lack of sophisticated equipment. This paper presents a multi-agent learning system for health care practitioners: Si...
متن کاملSimulation in coronary artery anastomosis early in cardiothoracic surgical residency training: the Boot Camp experience.
OBJECTIVE We evaluated focused training in coronary artery anastomosis with a porcine heart model and portable task station. METHODS At "Boot Camp," 33 first-year cardiothoracic surgical residents participated in 4-hour coronary anastomosis sessions (6-7 attending surgeons per group of 8-9 residents). At beginning, midpoint, and session end, anastomosis components were assessed on a 3-point r...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2020
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2020.03.119