Introduction: In order to improve the results of functional surgical procedures on the esophagus, the use of intraoperative esophageal manometry has been described to document the ablation of the lower esophageal sphincter (LES) high-pressure zone (HPZ) and to calibrate the pressure of the fundal wrap. An emerging physiology tool, the functional lumen imaging probe (Endoflip®, […]
Introduction: While the identification of lymph node metastases is prognostic, there is considerable controversy regarding the extent of lymph node resection in the surgical management of esophageal cancer. In this single-institution study, we examine the significance of total number of lymph node counts on survival in patients with lymph node negative esophageal carcinoma (American Joint […]
Introduction: This study is to examine the impact of laparoscopic repair of large hiatal hernia on patient’s respiratory function and quality of life. Methods: From 2004 to 2008, 30 consecutive patients with large paraesophageal hernia defined as >50% of stomach in the intrathoracic cavity with a minimum follow-up of 2 years were included in this […]
Recently, laparoscopy-assisted total gastrectomy (LATG) has been performed for the treatment of early proximal cancer. In LATG, there are technical difficulties of performing laparoscopic reconstruction, especially esophago-jejunostomy. On the purpose of decreasing the incidence of the anastomotic troubles, we have developed the Roux-en Y reconstruction using reversed rho-shaped side-to-side esophago-jejunostomy.Techniques Under laparoscopic techniques, the mobilization […]
BACKGOUND: Esophageal squamous cell cancer located in the lower third of the esophagus often indicates surgery with left transthoracic approach. Surgery with left thoracotomy is less invasive than right thoracotomy, but thoracotomy itself is associated with morbidity and delayed recovery in cancer patients who are typically older and malnourished and often have pulmonary or cardiovascular […]