scholarly journals Preservation of replaced left hepatic artery during 3D laparoscopic totally minimally invasive esophagectomy for cancer

2019 ◽  
Vol 7 (9) ◽  
pp. 1787-1788
Author(s):  
Athanasios Syllaios ◽  
Spyridon Davakis ◽  
Elias Sdralis ◽  
Stamatios Petousis ◽  
Bruno Lorenzi ◽  
...  
Nutrients ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 778
Author(s):  
Henricus J.B. Janssen ◽  
Laura F.C. Fransen ◽  
Jeroen E.H. Ponten ◽  
Grard A.P. Nieuwenhuijzen ◽  
Misha D.P. Luyer

Over the past decades, survival rates for patients with resectable esophageal cancer have improved significantly. Consequently, the sequelae of having a gastric conduit, such as development of micronutrient deficiencies, become increasingly apparent. This study investigated postoperative micronutrient trends in the follow-up of patients following a minimally invasive esophagectomy (MIE) for cancer. Patients were included if they had at least one postoperative evaluation of iron, ferritin, vitamins B1, B6, B12, D, folate or methylmalonic acid. Data were available in 83 of 95 patients. Of these, 78.3% (65/83) had at least one and 37.3% (31/83) had more than one micronutrient deficiency at a median of 6.1 months (interquartile range (IQR) 5.4–7.5) of follow-up. Similar to the results found in previous studies, most common deficiencies identified were: iron, vitamin B12 and vitamin D. In addition, folate deficiency and anemia were detected in a substantial amount of patients in this cohort. At 24.8 months (IQR 19.4–33.1) of follow-up, micronutrient deficiencies were still common, however, most deficiencies normalized following supplementation on indication. In conclusion, patients undergoing a MIE are at risk of developing micronutrient deficiencies as early as 6 up to 24 months after surgery and should therefore be routinely checked and supplemented when needed.


2017 ◽  
Vol 9 (S8) ◽  
pp. S826-S833 ◽  
Author(s):  
Frans van Workum ◽  
Gijs H. Berkelmans ◽  
Bastiaan R. Klarenbeek ◽  
Grard A. P. Nieuwenhuijzen ◽  
Misha D. P. Luyer ◽  
...  

2009 ◽  
Vol 35 (1) ◽  
pp. 13-21 ◽  
Author(s):  
Georges Decker ◽  
Willy Coosemans ◽  
Paul De Leyn ◽  
Herbert Decaluwé ◽  
Philippe Nafteux ◽  
...  

2015 ◽  
Vol 29 (8) ◽  
pp. 1064-1070 ◽  
Author(s):  
M. Scarpa ◽  
F. Cavallin ◽  
L. M. Saadeh ◽  
E. Pinto ◽  
R. Alfieri ◽  
...  

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 18-18
Author(s):  
Alexandros Charalabopoulos ◽  
Justin Lawrence ◽  
Ali Kordzadeh ◽  
Bruno Lorenzi

Abstract Description This is a video of a hand-sewn 2-layer end-to-side intra-thoracic esophago-gastric anastomosis performed thoracoscopically during a totally minimally invasive 2-stage esophagectomy for cancer. The suture material used is the barbed V-Lock. We routine perform this anastomosis in all 2-stage minimally invasive esophagectomies in our Unit since 2016. We have performed about 50 consecutive esophagectomies with this anastomosis with < 3% leak rate. Disclosure All authors have declared no conflicts of interest.


2013 ◽  
Vol 20 (6) ◽  
pp. 1970-1977 ◽  
Author(s):  
R. Parameswaran ◽  
D. R. Titcomb ◽  
N. S. Blencowe ◽  
R. G. Berrisford ◽  
S. A. Wajed ◽  
...  

2011 ◽  
Vol 58 (4) ◽  
pp. 27-30 ◽  
Author(s):  
Milos Bjelovic ◽  
Dejan Stojakov ◽  
Bratislav Spica ◽  
Dejan Velickovic ◽  
Dragan Gunjic ◽  
...  

In the Western countries, the incidence of esophageal carcinoma is 3-6 cases per 100.000 persons. Despite tremendous success of other therapeutic options, surgical treatment still represents the best therapeutic option whenever possible. For the long period, debate has centered on which of the available surgical procedures is superior - transhiatal or transthoracic esophagectomy. Minimally invasive esophagectomy (MIE) could offer both minimally invasive approach and proper mediastinal lymph node dissection. Minimally invasive esophagectomy is safe and adequate, but time consuming and technically demanding procedure. It is procedure reserved for the surgeons experienced in open esophagectomy for cancer, and specially trained in advanced minimally invasive procedures. Even in that case, learning curve is steep.


2012 ◽  
Vol 255 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Ravikrishna Mamidanna ◽  
Alex Bottle ◽  
Paul Aylin ◽  
Omar Faiz ◽  
George B. Hanna

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