Esophagectomy is known for its high postoperative morbidity and mortality rates. In case of esophageal cancer, a transthoracic approach is often preferred since this allows for mediastinal lymphadenectomy, removing potential metastases. However this is frequently associated with pulmonary complications, increasing the need for intensive care unit treatment and mortality. Therefore this thesis a...

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...

The esophagus has a peculiar and unique surgical anatomy [1]. It crosses the neck, thorax and abdomen and lies in close contact with vital organs. This peculiarity and uniqueness makes esophagectomy a distinctive and technically demanding operation. It cannot be compared to any other procedure. Even other complex operations, such as Whipple procedure and hepatectomy, do not violate two body cav...

diaphragmatic hernia, secondary to transhiatal esophagectomy, appears to be a relatively infrequent diagnosis. patients may be asymptomatic or present with various symptoms. diagnosis of this condition requires a high index of suspicion. the most common cause of diaphragmatic hernia is widened esophageal hiatus during surgery; therefore, narrowing the hiatus can prevent conduit herniation. here...

BACKGROUND We have initially published our experience with the robotic transthoracic esophagectomy in 32 patients from a single institute. The present paper is the extension of our experience with robotic system and to best of our knowledge this represents the largest series of robotic transthoracic esophagectomy worldwide. The objective of this study was to investigate the feasibility of the r...

Robotic-assisted esophagectomy has been introduced as a minimally invasive esophagectomy; however, transhiatal esophagectomy with extended lymphadenectomy in the middle retromediastinal field has never been reported so far. We have developed a totally transhiatal robotic manipulation which enables middle retromediastinal lymph dissection. With this method, transthoracic approach, which is assoc...

Surgical treatment of esophageal cancer is substantially invasive and often entails some postoperative complications. Perioperative management for patients with liver cirrhosis involves great difficulties. Recently, we conducted an esophagectomy for the treatment of superficial esophageal cancer in a 52-year-old male patient with liver cirrhosis and esophageal varices, with gratifying results. ...

Abstract Patients with locally advanced and potentially curable esophageal cancer (EC) should receive trimodality treatment, which involves neoadjuvant concurrent chemoradiotherapy (nCRT) followed by esophagectomy. The maximum standard uptake value (SUVmax) in SUV of 18FDG-PET/CT have been reported to be useful predicting the prognosis EC patients treated nCRT subsequent We aimed determine path...

introduction: gastric drainage disorder is one of the complications of gastric pull-up and esophagectomy after surgery which might lead to esophageal cancer and benign strictures. the aim of this study was to determine the role of pyloromyotomy on gastric drainage. materials and methods: in this prospective randomized controlled clinical trial study, we studied 51 patients in two matched groups...

Objective: Patients undergoing esophagectomy are typically nutritionally depleted and cannot establish oral feeding for up to a week after surgery. We have investigated the routine use of enteral feeding via a naso-jejunal tube. Methods: Forty consecutive patients undergoing a transthoracic esophagectomy for cancer were randomised to receive enteral feeding or intravenous crystalloid fluids aft...