Open or Minimally Invasive Esophagectomy After Neoadjuvant Therapy

2017 ◽  
pp. 49-57
Author(s):  
Donald L. van der Peet ◽  
Jennifer Straatman ◽  
Nicole I. van der Wielen ◽  
Miguel A. Cuesta
Keyword(s):  
Minimally Invasive ◽  
Neoadjuvant Therapy ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy

Optimal surgical approach for esophageal cancer in the era of minimally invasive esophagectomy and neoadjuvant therapy

2015 ◽  
Vol 29 (7) ◽  
pp. 773-779 ◽  
Author(s):  
B. J. Noordman ◽  
B. P. L. Wijnhoven ◽  
J. J. B. van Lanschot
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Neoadjuvant Therapy ◽  
Surgical Approach ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy

Staging Accuracy of Endoscopic Ultrasound Based on Pathologic Analysis after Minimally Invasive Esophagectomy

2010 ◽  
Vol 76 (11) ◽  
pp. 1228-1231 ◽  
Author(s):  
Brian R. Smith ◽  
Kenneth J. Chang ◽  
John G. Lee ◽  
Ninh T. Nguyen
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Neoadjuvant Therapy ◽  
Endoscopic Ultrasound ◽  
Minimally Invasive Esophagectomy ◽  
University Hospital ◽  
Depth Of Penetration ◽  
Invasive Esophagectomy ◽  
T Stage ◽  
N Staging

Endoscopic ultrasonography (EUS) is a common staging modality used in patients with esophageal cancer. The objective of this analysis was to evaluate the accuracy and sensitivity of EUS in determining the depth of penetration (T stage) and nodal status (N stage) in patients with esophageal cancer who underwent minimally invasive esophagectomy (MIE). A retrospective analysis of all patients at a university hospital who underwent preoperative EUS followed by MIE for cancer was performed. We compared the results of preoperative EUS to final pathologic analyses of the esophageal specimen, examining the accuracy of EUS staging. Ninety-five patients with esophageal cancer who underwent MIE had preoperative EUS. Twenty-four of the 95 patients were excluded for lack of a repeat EUS after neoadjuvant therapy before resection. Hence, 71 patients were evaluated for the accuracy of EUS staging. The accuracy of EUS for TO disease was 80 per cent; T1 disease was 75 per cent; T2 disease was 39 per cent; and T3 disease was 88 per cent. The overall EUS accuracy for T stage was 72 per cent with overstaging occurring mostly for pathologic T1 tumors in 18 per cent and understaging occurring mostly for pathologic T3 tumors in 11 per cent. The sensitivity and specificity for detection of nodal involvement were 79 per cent and 74 per cent, respectively. However the accuracy for T and N staging by EUS after neoadjuvant therapy decreased to 63 per cent and 38 per cent, respectively. Endoscopic ultrasound in the absence of neoadjuvant therapy is a relatively accurate and sensitive modality for determining the depth of tumor penetration and the presence of nodal disease in patients with esophageal carcinoma. The accuracy for T and N staging is less reliable after neoadjuvant therapy.

scholarly journals European consensus on essential steps of Minimally Invasive Ivor Lewis and McKeown Esophagectomy through Delphi methodology

2021 ◽  
Author(s):  
Yassin Eddahchouri ◽  
◽  
Frans van Workum ◽  
Frits J. H. van den Wildenberg ◽  
Mark I. van Berge Henegouwen ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Expert Panel ◽  
Minimally Invasive Esophagectomy ◽  
Round Table ◽  
Round Table Discussion ◽  
Ivor Lewis ◽  
Delphi Methodology ◽  
Invasive Esophagectomy ◽  
European Consensus ◽  
Mckeown Esophagectomy

Abstract Background Minimally invasive esophagectomy (MIE) is a complex and technically demanding procedure with a long learning curve, which is associated with increased morbidity and mortality. To master MIE, training in essential steps is crucial. Yet, no consensus on essential steps of MIE is available. The aim of this study was to achieve expert consensus on essential steps in Ivor Lewis and McKeown MIE through Delphi methodology. Methods Based on expert opinion and peer-reviewed literature, essential steps were defined for Ivor Lewis (IL) and McKeown (McK) MIE. In a round table discussion, experts finalized the lists of steps and an online Delphi questionnaire was sent to an international expert panel (7 European countries) of minimally invasive upper GI surgeons. Based on replies and comments, steps were adjusted and rephrased and sent in iterative fashion until consensus was achieved. Results Two Delphi rounds were conducted and response rates were 74% (23 out of 31 experts) for the first and 81% (27 out of 33 experts) for the second round. Consensus was achieved on 106 essential steps for both the IL and McK approach. Cronbach’s alpha in the first round was 0.78 (IL) and 0.78 (McK) and in the second round 0.92 (IL) and 0.88 (McK). Conclusions Consensus among European experts was achieved on essential surgical steps for both Ivor Lewis and McKeown minimally invasive esophagectomy.

Minimally invasive esophagectomy for Barrett’s esophagus with high-grade dysplasia

Surgery ◽  
2000 ◽  
Vol 127 (3) ◽  
pp. 284-290 ◽  
Author(s):  
Ninh T. Nguyen ◽  
Phil Schauer ◽  
James D. Luketich
Keyword(s):  
Minimally Invasive ◽  
Barrett’S Esophagus ◽  
Barrett's Esophagus ◽  
Minimally Invasive Esophagectomy ◽  
High Grade Dysplasia ◽  
High Grade ◽  
Invasive Esophagectomy

Survival and quality of life after minimally invasive esophagectomy: a single-surgeon experience

2011 ◽  
Vol 26 (1) ◽  
pp. 168-176 ◽  
Author(s):  
Abhishek Sundaram ◽  
Juan C. Geronimo ◽  
Brittany L. Willer ◽  
Masato Hoshino ◽  
Zachary Torgersen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy ◽  
Surgeon Experience

Drivers of Cost Associated with Minimally Invasive Esophagectomy

2021 ◽  
Author(s):  
Nikhil Panda ◽  
Larisa Shagabayeva ◽  
Cameron E. Comrie ◽  
Nicole Phan ◽  
Philicia Moonsamy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy
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