Minimally invasive esophagectomy with right bronchial occlusion under artificial pneumothorax.

Abstract:

AIMS:To assess the safety and feasibility of minimally invasive esophagectomy and selected three-field lymphadenectomy with the right bronchial occlusion in left semi-prone position under artificial pneumothorax. METHODS:Thoracoscopic-laparoscopic subtotal esophagectomy and selected three-field lymphadenectomy were performed in 166 patients with esophageal carcinoma by the right bronchial occlusion in left semi-prone position under artificial pneumothorax. RESULTS:109 patients received two-field lymphadenectomy and 57 received three-field lymphadenectomy. The average operative time was 202.5 ± 21.3 min; the average thoracoscopic operative time was 98.4 ± 15.5 min. The average blood loss was 39.6 ± 4.2 ml, and no blood transfusion was needed during the surgery. The mean lymph node harvest was 28.4 ± 5.2 nodes. Hospital stay ranged from 7 to 95 days and the average was 11.3 days. The postoperative complication rate was 29.5%, and the mortality rate was 1.2%. CONCLUSIONS:It is feasible and safe to perform thoracoscopic-laparoscopic subtotal esophagectomy and selected three-field lymphadenectomy with the right bronchial occlusion in left semi-prone position under artificial pneumothorax for esophageal carcinoma. The procedure shows advantages in improved visibility and accessibility of the surgical field, and better subsequent surgical outcomes.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Zhang Y,Duan R,Xiao X,Pan T

doi

10.1159/000371747

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

77-81

issue

2

eissn

0253-4886

issn

1421-9883

pii

000371747

journal_volume

32

pub_type

杂志文章
  • Extent of liver resection for hilar cholangiocarcinoma (Klatskin tumor): how much is enough?

    abstract:BACKGROUND:Hilar resection in combination with extended liver resections has resulted in a higher rate of R0 resections and increased survival in patients with hilar cholangiocarcinoma (HCCA). This aggressive surgical approach is, however, associated with high rates of operative morbidity and mortality, largely due to ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000323825

    authors: van Gulik TM,Ruys AT,Busch OR,Rauws EA,Gouma DJ

    更新日期:2011-01-01 00:00:00

  • Laparoscopic Surgery for Gallbladder Cancer: An Expert Consensus Statement.

    abstract:BACKGROUND:Despite the increasing number of reports on the favorable outcomes of laparoscopic surgery for gallbladder cancer (GBC), there is no consensus regarding this surgical procedure. OBJECTIVE:The study aimed to develop a consensus statement on the application of laparoscopic surgery for GBC based on expert opin...

    journal_title:Digestive surgery

    pub_type: 共识发展会议,杂志文章

    doi:10.1159/000486207

    authors: Han HS,Yoon YS,Agarwal AK,Belli G,Itano O,Gumbs AA,Yoon DS,Kang CM,Lee SE,Wakai T,Troisi RI

    更新日期:2019-01-01 00:00:00

  • Ectopic pancreas in the ampulla of vater with obstructive jaundice. A case report and review of literature.

    abstract::Ectopic pancreas is an uncommon condition and is usually found in the gastrointestinal tract, such as stomach, duodenum and jejunum. However, ectopic pancreas in the ampulla of Vater is rare and its clinical presentations may be similar to periampullary cancer. It is difficult to diagnose preoperatively. We present su...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000096158

    authors: Chou SJ,Chou YW,Jan HC,Chen VT,Chen TH

    更新日期:2006-01-01 00:00:00

  • Robotic-Assisted versus Laparoscopic Distal Pancreatectomy: The Results of a Case-Matched Analysis from a Tertiary Care Center.

    abstract:BACKGROUND:Laparoscopic distal pancreatectomy (LDP) has been adopted relatively slowly despite the benefits of minimally invasive approach. The robotic approach can overcome the limitations of LDP, thus increasing the acceptance of minimally invasive distal pancreatectomy. METHODS:We performed a 1:1 retrospective case...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000501428

    authors: Marino MV,Mirabella A,Gomez Ruiz M,Komorowski AL

    更新日期:2020-01-01 00:00:00

  • Resection of primary pancreatic cancer and liver metastasis: a systematic review.

    abstract::Resection of liver metastases for locally resectable pancreatic cancer has rarely been performed. Recently, promising results regarding morbidity and mortality as well as long-term survival have been shown. Thus, we conducted a systematic review of the literature on pancreatic cancer resection with associated liver me...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000184739

    authors: Michalski CW,Erkan M,Hüser N,Müller MW,Hartel M,Friess H,Kleeff J

    更新日期:2008-01-01 00:00:00

  • Dye-staining stereomicroscopic examinations for fine mucosal structures of the gallbladder.

    abstract:BACKGROUND:In order to diagnose an unsuspected gallbladder carcinoma and to examine whether a differential diagnosis could be made between cancer and noncancerous lesions during surgery, we evaluated the findings of fine structures of various types of gallbladder mucosa. METHODS:We used stereomicroscopy with a dye-con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050156

    authors: Aoki T,Inoue K,Tsuchida A,Kasuya K,Koyanagi Y

    更新日期:2001-01-01 00:00:00

  • Clinical characteristics of gastric cancer with metastasis to the lymph node along the superior mesenteric vein (14v).

    abstract:AIM:We investigated the clinical significance of metastasis to the lymph node (LN) along the superior mesenteric vein (14v) in gastric cancer. METHODS:A retrospective study of 2,513 gastrectomy patients with a 14v dissection was done using the Ganken Igan Database. RESULTS:The incidence of 14v metastasis correlated w...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000165382

    authors: Masuda TA,Sakaguchi Y,Toh Y,Aoki Y,Harimoto N,Taomoto J,Ikeda O,Ohga T,Adachi E,Okamura T

    更新日期:2008-01-01 00:00:00

  • Laparoscopy-assisted D2 radical distal gastrectomy for advanced gastric cancer.

    abstract:BACKGROUND/AIM:Laparoscopy-assisted surgery has proved useful in the treatment of early gastric cancer, but its use in advanced cancer has rarely been studied. To investigate the efficacy and advantages of laparoscopy-assisted distal gastrectomy (LADG) with D2 dissection of lymph nodes versus conventional open D2 dista...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000281818

    authors: Huang JL,Wei HB,Zheng ZH,Wei B,Chen TF,Huang Y,Guo WP,Hu B

    更新日期:2010-01-01 00:00:00

  • New therapeutic strategies to avoid intra- and extraperitoneal metastases during laparoscopy: results of a tumor model in the rat.

    abstract:BACKGROUND:Therapeutic strategies to prevent port site recurrences in laparoscopy surgery of malignancies have not been investigated until now. METHODS:The effects of taurolidine, heparin, and povidone iodine on the growth of rat and human colon adenocarcinoma as well as gallbladder carcinoma were investigated in vitr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018754

    authors: Jacobi CA,Peter FJ,Wenger FA,Ordemann J,Müller JM

    更新日期:1999-01-01 00:00:00

  • Prevention of infectious complications in surgical patients: potential role of probiotics.

    abstract::Infectious complications in surgical patients often originate from the intestinal microflora. In the critically ill patient, small bowel motility is disturbed, leading to bacterial overgrowth and subsequent bacterial translocation due to dysfunction of the gut mucosal barrier. The optimal prophylactic strategy should ...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000088053

    authors: Besselink MG,Timmerman HM,van Minnen LP,Akkermans LM,Gooszen HG

    更新日期:2005-01-01 00:00:00

  • Preoperative Endoscopy and Its Impact on Perioperative Management in Bariatric Surgery.

    abstract:BACKGROUND:The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management. METHODS:Patients who underwent bariatric surgery at our center be...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000381811

    authors: Wiltberger G,Bucher JN,Schmelzle M,Hoffmeister A,Dietrich A

    更新日期:2015-01-01 00:00:00

  • Electrocoagulation of perianal warts: a word of caution.

    abstract:BACKGROUND:Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option. METHOD:A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stric...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018856

    authors: Ammori BJ,Ausobsky JR

    更新日期:2000-01-01 00:00:00

  • Carcinoma of pelvic pouch following restorative proctocolectomy: report of a case and review of the literature.

    abstract::One of the possible long-term complications following an ileoanal pouch procedure is the development of malignancy in the mucosa of the rectal stump. Only 10 such cases have been reported so far. We report the case of a 23-year-old male who had ulcerative colitis with high-grade dysplasia and underwent an ileoanal pou...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000068855

    authors: Negi SS,Chaudhary A,Gondal R

    更新日期:2003-01-01 00:00:00

  • Fatal intestinal perforation secondary to fragmentation of a Celestin tube.

    abstract:BACKGROUND/AIMS:Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. METHODS:A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018886

    authors: Evans JD,Halloran CM,Mansour P,Zeiderman MR

    更新日期:2000-01-01 00:00:00

  • Cross-linked hyaluronic acid films to reduce intra-abdominal postsurgical adhesions in an experimental model.

    abstract:BACKGROUND/AIMS:Intra-abdominal adhesions typically occur after surgically damaged tissues are situated in apposition, leading to fibrotic connections. The goal of this study was to demonstrate the in vivo efficacy of a cross-linked and insoluble hyaluronic acid (HA) film to reduce postsurgical adhesion in a rat model....

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000253872

    authors: Falabella CA,Chen W

    更新日期:2009-02-01 00:00:00

  • In vitro function of islets of Langerhans encapsulated with a membrane of porcine chondrocytes for immunoisolation.

    abstract:BACKGROUND/AIMS:Widespread clinical application of islet transplantation remains restricted, because of insufficient methods to prevent rejection and autoimmune destruction of islet grafts. In this study we demonstrate long-term function of islets of Langerhans within a capsule of porcine chondrocytes which may serve a...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050130

    authors: Pollok JM,Lorenzen M,Kölln PA,Török E,Kaufmann PM,Kluth D,Bohuslavizki KH,Gundlach M,Rogiers X

    更新日期:2001-01-01 00:00:00

  • Ileal pouch anal anastomosis with close rectal dissection using automated vessel sealers for ulcerative colitis: a promising alternative.

    abstract:BACKGROUND:Despite decennia of experience, ileal pouch anal anastomosis for ulcerative colitis is still associated with high complication rates. The development of automatic vessel sealers has resulted in the revival of a promising surgical alternative to the conventional procedure: close rectal dissection. By preservi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000331255

    authors: de Zeeuw S,Ahmed Ali U,van der Kolk MB,van Laarhoven KC

    更新日期:2011-01-01 00:00:00

  • Tumor thrombectomy via a surgically reopened umbilical vein combined with right hemihepatectomy in a patient with hepatocellular carcinoma.

    abstract::This report presents a case of a patient with a huge hepatocellular carcinoma in the right lobe of the liver with an extensive portal venous tumor thrombus extending into the main portal trunk and left portal branch. The patient underwent extended right hemihepatectomy with tumor thrombectomy with direct extraction fr...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000324596

    authors: Soyama A,Eguchi S,Takatsuki M,Hidaka M,Muraoka I,Tomonaga T,Kanematsu T

    更新日期:2011-01-01 00:00:00

  • Systemic Inflammation Score as a Predictor of Pneumonia after Radical Resection of Gastric Cancer: Analysis of a Multi-Institutional Dataset.

    abstract:BACKGROUND:Curative treatment for gastric cancer (GC) comprising gastrectomy with systematic lymph node dissection can result in postoperative complications. Postoperative pneumonia is sometimes fatal, like surgery-related complications such as anastomotic leakage. In this retrospective study, we analyzed a multi-insti...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000506940

    authors: Shoka M,Kanda M,Ito S,Mochizuki Y,Teramoto H,Ishigure K,Murai T,Asada T,Ishiyama A,Matsushita H,Tanaka C,Kobayashi D,Fujiwara M,Murotani K,Kodera Y

    更新日期:2020-01-01 00:00:00

  • Reversal of Hartmann's procedure after surgery for complications of diverticular disease of the sigmoid colon is safe and possible in most patients.

    abstract:BACKGROUND:Although evidence is growing that most patients who need an operation for diverticular disease of the sigmoid colon can be treated by a single-stage procedure, a two-stage procedure will still be necessary in some patients because of significant sepsis or technical difficulties. The outcomes of 65 patients w...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000091444

    authors: Oomen JL,Cuesta MA,Engel AF

    更新日期:2005-01-01 00:00:00

  • Role of intestinal permeability in monitoring mucosal barrier function. History, methodology, and significance of pathophysiology.

    abstract::The intestinal barrier function is considered to play an important role in protecting the penetration of luminal antigens, associated with the development of secondary infection and sepsis and the initiation of the multiple organ dysfunction syndrome. The intestinal mucosal barrier against luminal macromolecules and m...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018651

    authors: Sun Z,Wang X,Andersson R

    更新日期:1998-01-01 00:00:00

  • Laparoscopic antireflux surgery--It's a wrap!

    abstract::The surgical management of gastroesophageal reflux disease has been simplified by the availability of minimally invasive techniques to treat this condition. The indications and selection of patients remain the same as for open surgery and initial results with laparoscopic antireflux surgery show long-term results equa...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000018686

    authors: Hinder RA,Smith SL,Klingler PJ,Branton SA,Floch NR,Seelig MH

    更新日期:1999-01-01 00:00:00

  • A case of jejunal intussusception with gastrointestinal bleeding caused by metastatic testicular germ cell cancer.

    abstract:BACKGROUND/AIM:We report an unusual case of metastatic testicular germ cell tumor with its unusual presentation. METHOD:A patient presented to the San Joaquin General Hospital with gastrointestinal bleeding and obstruction and a testicular mass is described. The patient's clinical course is followed and the literature...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018764

    authors: Hofflander R,Beckes D,Kapre S,Matolo N,Liu S

    更新日期:1999-01-01 00:00:00

  • Differences in Post-Cholecystectomy Bile Duct Injury Care: A Comparative Analysis of 2 Different Health-Care Public Institutions in a Low- and Middle-Income Country: Southeast Mexico.

    abstract:BACKGROUND:Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. METHODS:Retrospective review (2008-2019) in 2 p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000509706

    authors: Martínez-Mier G,Moreno-Ley PI,Esquivel-Torres S,Gonzalez-Grajeda JL,Mendez-Rico D

    更新日期:2020-01-01 00:00:00

  • Preoperative biliary drainage before resection in obstructive jaundice.

    abstract:BACKGROUND:Surgery for patients with malignant obstructive jaundice carries high morbidity and mortality rates. Preoperative biliary drainage (PBD) has been used in an attempt to improve the outcome in these patients. AIM:To review the evidence in the literature on whether PBD improves postoperative morbidity and mort...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000050105

    authors: Aly EA,Johnson CD

    更新日期:2001-01-01 00:00:00

  • Effect of Vagus Nerve Injury on the Outcome of Antireflux Surgery: An Extensive Literature Review.

    abstract:BACKGROUND:Vagus nerve injury (VNI) is a feared complication of antireflux surgery (ARS). The impact of VNI on the functional outcomes of ARS has not yet been evaluated systematically. The aim of this review was to evaluate the impact of VNI on functional and clinical outcome of ARS. METHODS:A systematic search was pe...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000444147

    authors: van Rijn S,Roebroek YG,Conchillo JM,Bouvy ND,Masclee AA

    更新日期:2016-01-01 00:00:00

  • Tonometer pHi monitoring of free jejunal grafts following pharyngolaryngoesophagectomy for hypopharyngeal or cervical esophageal cancer.

    abstract:BACKGROUND/AIMS:Graft failure is a critical complication associated with vascular occlusion in esophageal reconstruction with a free jejunal graft following pharyngolaryngoesophagectomy. In this study, we evaluated the usefulness of intramucosal pH (pHi) measurement using a tonometer to assess the graft viability. MET...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000102902

    authors: Kamiya K,Suzuki S,Mineta H,Konno H

    更新日期:2007-01-01 00:00:00

  • Perforated peptic ulcer disease: a review of history and treatment.

    abstract:BACKGROUND:In the last one hundred years much has been written on peptic ulcer disease and the treatment options for one of its most common complications: perforation. The reason for reviewing the literature was evaluating most common ideas on how to treat perforated peptic ulcers (PPU) in general, opinions on conserva...

    journal_title:Digestive surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1159/000264653

    authors: Bertleff MJ,Lange JF

    更新日期:2010-08-01 00:00:00

  • Primary choledochorrhaphy after common bile duct exploration.

    abstract:AIM:To prove further the safety of primary closure of the common bile duct. METHOD:Twenty patients among 99 common bile duct explorations underwent primary closure. Pre- and postoperative liver function test, ultrasound and intraoperative cholangiography data, operation time, postoperative complications and the length...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000018706

    authors: Tu Z,Li J,Xin H,Zhu Q,Cai T

    更新日期:1999-01-01 00:00:00

  • Efficacy of Peak Hounsfield Units of the Visceral Fat Area in Predicting Postoperative Complications after Pancreaticoduodenectomy.

    abstract:BACKGROUND:Morbidity following pancreaticoduodenectomy (PD) has been reported to remain high. This study sought to measure the peak Hounsfield units (HUs) of visceral attenuation in patients undergoing PD and to assess the quality of adipocytes by comparing these measurements with perioperative factors. METHODS:Patien...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000505060

    authors: Hikita K,Chiba N,Nakagawa M,Koganezawa I,Yokozuka K,Kobayashi T,Sano T,Tomita K,Tsutsui R,Hirano H,Kawachi S

    更新日期:2020-01-01 00:00:00