Abstract Background Variation of the vertebral artery bifurcation is rare. This branching abnormality can cause unexpected damage and bleeding during thoracoscopic esophagectomy. There are few reports abnormal associated with neurosurgery but none related to We report case together results evaluation length in 50 patients esophageal cancer our hospital. Case presentation Thoracoscopic esophagec...

In the second stage, the patient is placed in a supine position for laparoscopic construction of the gastric conduit, placement of a feeding jejunostomy, and pyloroplasty. The third stage consists of mobilization of the cervical esophagus via the left neck, removal of the surgical specimen and gastric pull-up, and construction of an esophagogastric anastomosis. This phase of the operation is pe...

esophago-pulmonary fistula after esophagectomy Anastomotic leakage, which is one of the complications of esophagectomy, sometimes causes a refractory fistula despite conservative therapy [1]. Polyglycolic acid (PGA) sheets (Neoveil; Gunze, Kyoto, Japan), a suture reinforcement material that is absorbed within 4–15 weeks, have been used in many fields of open and endoscopic surgery [2,3] to prev...

BACKGROUND Pylorotomy and pyloroplasty in thoracoabdominal esophagectomy are routinely performed in many high-volume centers to prevent delayed gastric emptying (DGE) due to truncal vagotomy. Currently, controversy remains regarding the need for these practices. The present study aimed to determine the value and role of pyloric drainage procedures in esophagectomy with gastric replacement. ME...

Case Report A 65-year-old man was admitted to our hospital complaining of progressive dysphagia and important weight loss occurred in the last 5 months. His past medical history was significant for distal gastrectomy for benign ulcer 20 years before and a cardiac pacemaker placement 4 years ago after a diagnosis of dilatative cardiomyopathy. Physical examimination and laboratory tests resulted ...

HYPOTHESIS Volume criteria are poor predictors of inpatient mortality after esophagectomy. Because many factors influence mortality for complex procedures, this study was designed to quantify such factors and analyze the volume-outcome relationship for esophagectomy. DESIGN Retrospective review of the Nationwide Inpatient Sample database for esophagectomies. We performed multivariate analysis...

Introduction Minimally invasive esophagectomy (MIE) is associated with less pulmonary complications, shorter hospital stay, and better quality of life as compared to open esophagectomy (OE). However, there are concerns about the likely higher costs for this procedure. Therefore, we carried out an economic evaluation of the randomized controlled TIME trial in MIE was compared to OE in patients w...

background: esophagectomy is considered to be the main treatment for esophageal malignancies. among the different methods, transhiatal approach can cause less damage to patients and is widely used however, manipulation of esophagus result in heart rate and blood pressure variations. the aim of this study was to investigate changes in blood pressure and heart rhythm during transhiatal esophagect...