INTRODUCTION There is scant experience with robot-assisted esophagectomy in cases of esophageal and gastro-esophageal junction cancer. Our aim is to report our current experience. PATIENTS AND METHODS Observational cohort study of the first 32 patients who underwent minimally invasive esophagectomy for esophageal cancer from September 2011 to June 2014. The gastric tube was created laparoscop...

BACKGROUND AND OBJECTIVES The safety and effectiveness of minimally invasive esophagectomy (MIE) in comparison with the open esophagectomy (OE) remain uncertain in esophageal cancer treatment. The purpose of this meta-analysis is to compare the outcomes of the two surgical modalities. METHODS Searches were conducted in MEDLINE, EMBASE, and ClinicalTrials.gov with the following index words: "e...

OBJECTIVE To review the surgical outcomes of extended esophagectomy with 3-field lymph node dissection (3FLND) for esophageal cancer. DATA SOURCES Only articles written in English and written after 1980 were selected from MEDLINE. The following terms were identified: 3FLND, extensive or extended lymph node dissection (lymphadenectomy), radical lymph node dissection, cervical lymph node dissec...

BACKGROUND Hypotension is common in the early postoperative stages after abdominothoracic esophagectomy for esophageal cancer. We examined the ability of stroke volume variation (SVV), pulse pressure variation (PPV), central venous pressure (CVP), intrathoracic blood volume (ITBV), and initial distribution volume of glucose (IDVG) to predict fluid responsiveness soon after esophagectomy under m...

Background and study aims  A 70-year-old-man underwent an esophagectomy and posterior mediastinal reconstruction for esophageal cancer that was curatively resected. Although the patient was allowed to eat after surgery, he repeatedly vomited after drinking water or eating meals and required continuous hospitalization. An upper gastrointestinal series and endoscopic examination revealed an obstr...

We report a case in which rabeprazole cured gastric tube ulcer after esophagectomy for esophageal squamous cell carcinoma (ESCC). A 47-year-old Japanese man was referred to our hospital with refractory ulcer of the reconstructed gastric tube one year after esophagectomy for ESCC. The ulcer proved refractory to healing by the administration of omeprazole or lansoprazole, or eradication of Helico...

Abstract Background Both diaphragmatic hernia and thoracic gastropericardial fistula rarely occur simultaneously in patients with radical esophagectomy. Case presentation A 72-year-old man presented to our hospital 1 day of nausea, vomiting acute left chest pain. He had esophagectomy (Sweet approach) for esophageal cancer 18 years ago. Computed tomography (CT) the revealed hernias air collectio...

[1] Page RD, Oo AY, Russell GN, Pennefather SH. Intravenous hydration versus naso-jejunal feeding after esophagectomy: a randomized study. Eur J Cardiothorac Surg 2002;22:666–72. [2] Gerndt SJ, Orringer MB. Tube jejunostomy as an adjunct to esophagectomy. Surgery 1994;115:164–9. [3] Baigrie RJ, Devitt PG, Watkin DS. Enteral versus parenteral nutrition after esophagogastric surgery: a prospectiv...

"Esophagectomy timing after neoadjuvant therapy for distal esophageal adenocarcinoma" published in the Annals of Thoracic Surgery (doi: 10.1016/j.athoracsur.2015.09.044) states that 30- and 90-day mortality after esophagectomy for adenocarcinoma in patients with neoadjuvant chemoradiation, is significantly higher in patients with a postradiation interval of 9 weeks or more. The authors suggest ...

We read with interest Junemann-Ramirez and colleagues’ article [1] on esophagogastric anastomotic leaks and their analysis of predictive factors, management and survival. We agree with the authors that esophagogastric anastomotic leaks are the most devastating of complications after esophageal resection and that they carry high morbidity and mortality rates. The choice of surgical procedure has...