Considerations in Dysphagia Management Following Esophagectomy

2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Minimally Invasive Surgical Procedures ◽  
Esophageal Resection ◽  
Minimally Invasive Surgical ◽  
Operative Complications ◽  
Swallowing Difficulties ◽  
Epidemiological Impact ◽  
Invasive Techniques ◽  
Management Of Dysphagia

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.

Minimally invasive esophagectomy

2021 ◽  
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Respiratory Complications ◽  
Invasive Esophagectomy ◽  
Video Tutorial ◽  
Complex Procedure ◽  
Resectable Esophageal ◽  
Resectable Esophageal Cancer ◽  
Invasive Techniques

Minimally invasive esophagectomy is increasingly becoming the surgical treatment of choice for esophageal cancer. The goal of this technique is to reduce the rate of respiratory complications associated with thoracotomy while taking advantage of the benefits of reduced mortality associated with minimally invasive techniques. However, minimally invasive esophagectomy is still not considered the gold standard for resectable esophageal cancer worldwide because it is a highly technical and complex procedure. The goal of this video tutorial is to present an easy step-by-step approach to a minimally invasive esophagectomy and to address technical considerations and potential pitfalls.

scholarly journals Design of a Multifunctional Forceps for Use in Endoscopic Surgery

2010 ◽  
Vol 4 (2) ◽  
Author(s):  
Andrew Rau ◽  
Mary Frecker ◽  
Abraham Mathew ◽  
Eric Pauli
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Minimally Invasive Surgical Procedures ◽  
Ex Vivo ◽  
Catastrophic Failure ◽  
Minimally Invasive Surgical ◽  
Design Characteristics ◽  
Fail Safe ◽  
Ex Vivo Testing ◽  
Good Agreement

This paper presents a 3.0 mm diameter endoscopic forceps design for use in minimally invasive surgical procedures, which require significant grasping and spreading forces. Models of the proposed design predict considerable improvements in the opening range (140%) and force application (87%) for both grasping and spreading when compared with currently used endoscopic forceps. Several of the tool’s design characteristics promote fail-safe malfunctions, including locking before catastrophic failure and the decreased likelihood in detached parts. Initial benchtop testing showed good agreement between prototype performance and model prediction. Frictional losses experienced during testing were found to depend on load orientation. A surgical prototype is currently being manufactured for ex vivo testing.

scholarly journals Minimally Invasive Techniques and Hybrid Operations for Esophageal Cancer

2015 ◽  
Vol 31 (5) ◽  
pp. 331-336 ◽  
Author(s):  
Christoph Wullstein ◽  
Hye-Yoen Ro-Papanikolaou ◽  
Christoph Klingebiel ◽  
Koray Ersahin ◽  
Rene Carolus
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Minimally Invasive Surgical Therapies for Atrial Fibrillation

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
Yoshitsugu Nakamura ◽  
Bob Kiaii ◽  
Michael W. A. Chu
Keyword(s):  
Atrial Fibrillation ◽  
Minimally Invasive ◽  
Left Atrial Appendage ◽  
Pulmonary Veins ◽  
Maze Procedure ◽  
Surgical Ablation ◽  
Minimally Invasive Surgical ◽  
Invasive Techniques ◽  
Lower Morbidity ◽  
Pharmacologic Therapies

Atrial fibrillation is the most common sustained arrhythmia and is associated with significant risks of thromboembolism, stroke, congestive heart failure, and death. There have been major advances in the management of atrial fibrillation including pharmacologic therapies, antithrombotic therapies, and ablation techniques. Surgery for atrial fibrillation, including both concomitant and stand-alone interventions, is an effective therapy to restore sinus rhythm. Minimally invasive surgical ablation is an emerging field that aims for the superior results of the traditional Cox-Maze procedure through a less invasive operation with lower morbidity, quicker recovery, and improved patient satisfaction. These novel techniques utilize endoscopic or minithoracotomy approaches with various energy sources to achieve electrical isolation of the pulmonary veins in addition to other ablation lines. We review advancements in minimally invasive techniques for atrial fibrillation surgery, including management of the left atrial appendage.

Synergistic benefits of combined technologies in complex, minimally invasive surgical procedures

1996 ◽  
Vol 10 (10) ◽  
pp. 1025-1028 ◽  
Author(s):  
W. P. Geis ◽  
H. C. Kim ◽  
P. C. McAfee ◽  
J. G. Kang ◽  
E. J. Brennan, Jr
Keyword(s):  
Minimally Invasive ◽  
Surgical Procedures ◽  
Minimally Invasive Surgical Procedures ◽  
Minimally Invasive Surgical

scholarly journals Robotic Laparoscopic Single-Site Surgery

2021 ◽  
Author(s):  
Rene I. Luna
Keyword(s):  
Minimally Invasive Surgery ◽  
Robotic Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Minimally Invasive Surgical Procedures ◽  
Single Site ◽  
Proper Understanding ◽  
Minimally Invasive Surgical ◽  
Set Up ◽  
Single Site Surgery

Minimally invasive surgery has changed the landscape of women’s surgical healthcare. Conventional and robotic laparoscopy are the preferred approach for many major minimally invasive gynecological procedures. However, the philosophy of minimally invasive surgery has been pushed to reduce the size and minimize the number of ports placed. Many conventional minimally invasive surgical procedures use 3–5 ports through multiple small incisions. Laparoscopic single site surgery tries to perform on that philosophy but has its limitations. Enters robotic surgery already a major force in minimally invasive surgery and now sets to remove the limitations of single site surgery. However it requires proper understanding of the instruments and the techniques for successful robotic single site surgery. It starts with patient selection. Knowing the instruments needed and the proper set up of those instruments. Then knowing how to use the instruments in operating and suturing and closing. And finish with special considerations.

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