scholarly journals Future directions—minimally invasive approaches to esophageal resection: a narrative review

2021 ◽  
Vol 4 ◽  
pp. 28-28
Author(s):  
Sarah Yousef ◽  
James D. Luketich ◽  
Inderpal S. Sarkaria
2016 ◽  
Vol 1 (13) ◽  
pp. 169-176
Author(s):  
Lisa M. Evangelista ◽  
James L. Coyle

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.


2021 ◽  
Vol 21 (1) ◽  
pp. 21-36
Author(s):  
Paula I. STROIAN

"Grounded in cognitive theory, the schema therapy model of psychopathology proposes a set of maladaptive cognitive structures, called early maladaptive schemas, resulting from the invalidation of emotional needs. More recently, the schema therapy model has been adapted for use with depressed clients. However, the utility of addressing emotional needs in the psychotherapeutic treatment of depression has not been established. The present paper aims to provide a narrative review of the current literature on basic needs as motivational factors in depression and their relation to schematic functioning. Theoretical considerations and practical evidence on the use of constructs related to basic motivation in depression are drawn from the literature on the cognitive and schema therapy-based models of depression. The implications for the theoretical understanding of needs are discussed, as are future directions for the research of schematic functioning in depression."


2016 ◽  
Vol 82 (8) ◽  
pp. 730-732
Author(s):  
Vernon D. Horst ◽  
Hetal D. Patel ◽  
Stan C. Hewlett

Esophageal cancer is an uncommon but highly lethal disease. Surgical resection is the gold standard of treatment for early-stage disease. Traditional surgical approach entailed significant convalescence, hospital stay, and morbidity and mortality. Transhiatal esophagectomy (THE) involves blind dissection of the esophagus with minimal mediastinal lymphadenectomy. Integration of robotic surgery is an alternate platform for minimally invasive approach while maintaining safety and following oncologic principles. We review our technique for minimally invasive THE using robotic technology, demonstrating the safety and efficacy of robotic technology surgery. We present a retrospective review of a single surgeon's data of patients treated with robotic-assisted THE, with a chart review to evaluate pathology, adequacy of surgical resection, nodal harvest, and perioperative course. Robotic THE (rTHE) shows promise as a valid option for esophageal resection, including premalignant and advanced stages of cancer. Adequate transhiatal mediastinal nodal resection can be performed with the robot.


Anaesthesia ◽  
2020 ◽  
Vol 75 (9) ◽  
pp. 1191-1204
Author(s):  
K. D. Bera ◽  
A. Shah ◽  
M. R. English ◽  
D. Harvey ◽  
R. J. Ploeg

2020 ◽  
Vol 13 (1) ◽  
pp. 1792682
Author(s):  
Christina R. Paganelli ◽  
Norman J. Goco ◽  
Elizabeth M. McClure ◽  
Kathryn K. Banke ◽  
Dianna M. Blau ◽  
...  

2020 ◽  
Vol 102 (9) ◽  
pp. e1-e3
Author(s):  
S Davakis ◽  
A Syllaios ◽  
A Meropouli ◽  
E Kyros ◽  
I Vagios ◽  
...  

The impact of HIV/AIDS on the treatment of oesophageal neoplasms remains undefined due to a lack of adequate data. We present our experience in treating patients with HIV/AIDS who have oesophageal cancer using minimally invasive techniques and discuss important key factors during perioperative management. Two men with HIV/AIDS underwent minimally invasive oesophagectomies in our department, with adequate clinical and oncological outcomes. Minimally invasive oesophagectomy can be safe and has the well-established benefits of minimally invasive techniques, offering good perioperative results and oncological outcomes in patients with HIV/AIDS. Multimodality therapy is crucial.


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