Background and Objective: Optimal pain management for esophagectomy facilitates prevention of postoperative complications such as pneumonia, but also chronic pain. Historically, multimodal intravenous analgesia was employed. In the last decades, regional anesthesia including epidural paravertebral is frequently used. this narrative review, we provide a comprehensive overview available evidence ...

BACKGROUND Historically, obesity contraindicated an abdominal approach to the esophagogastric junction. The technique of transhiatal esophagectomy (THE) evolved without specific regard to body habitus. The dramatic increase in obese patients requiring an esophagectomy for complications of reflux disease prompted this evaluation of the impact of obesity on the outcomes of esophagectomy to determ...

Background. Minimally invasive esophagectomy (MIE) techniques offer similar oncological and surgical outcomes to open methods. The effects of MIE on hospital costs are not well documented. Methods. We reviewed the electronic records of patients who underwent esophagectomy at a single academic institution between January 2012 and December 2014. Esophagectomy techniques were grouped into open, hy...

Background The management of empyema is still debated. Videoassisted thoracoscopic surgery (VATS) has revolutionized surgical management of patients with empyema. Currently thoracoscopic approach probably is the best choice in the management of second or third stage of empyema, particularly in those patients with chronic empyema and poor performance status. Multioculated empyemas generally make...

conclusions thoracoscopic sympathicotomy shows proper results in treatment of phh. thoracoscopic r3-r5 sympathicotomy compared with r2-r4 sympathicotomy is a preferable method, because of similar results and fewer complications. objectives this study was planned to evaluate and compare complications and patients’ satisfaction of thoracoscopic sympathicotomy in levels of r2-r4 versus r3-r5 for p...

Abstract For patients undergoing an Ivor Lewis esophagectomy with a circular stapled anastomosis, the optimal diameter of used stapler to restore continuity is unknown. The aim this study was compare 25 mm versus 28 esophagogastric anastomosis after esophagectomy, focusing on anastomotic insufficiency and post- operative strictures. Between February 2008 June 2019, 349 consecutive underwent gas...

BACKGROUND Even though the esophageal cancer has innumerous treatment options its prognosis is still unsettled. Because esophagectomy is rarely curative, new and emerging therapies come to light such as isolated chemotherapy and radiotherapy or combined chemoradiation, followed or not by surgery. The rescue esophagectomy is an alternative for those patients with recurrent or advanced disease. ...

BACKGROUND Video assisted thoracoscopic lung biopsies were compared with historical controls undergoing open lung biopsy to determine the diagnostic accuracy, effect on length of postoperative stay, and cost effectiveness of the new thoracoscopic technique. METHODS The first 25 video assisted thoracoscopic lung biopsies performed in the Edinburgh Thoracic Unit were compared with 25 historical...