Neurovascular Manipulation for Safer Surgery of Thoracic Esophageal Cancer

Ishigami, Koichi; Murakami, Takuo; Oka, M.

doi:10.1007/978-3-642-86432-2_98

Cited by 7 publications

(3 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Another recommendation for future evaluation of gastric IC would be standardization of anesthesia and surgical techniques for all patients with the aim of achieving universally homogeneous perioperative factors that potentially affect the hematosis of the gastric tube. In this regard, it should be acknowledged that thoracic sympathectomy is not standard practice during esophagectomy, and it should be avoided in all cases as it may affect the blood supply to the fundus [54]. Moreover, there have been concerns from experimental studies that the use of vasopressors may locally impair fundic perfusion in settings of acute hemorrhagic hypovolemia [55].…”

Section: Appraisal Of the Literature Resultsmentioning

confidence: 99%

Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

Kechagias

Rossum

Ruurda

et al. 2016

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Esophagectomy with esophagogastric anastomosis is a major procedure, and its most feared complication is anastomotic leakage. Ischemic conditioning of the stomach is a method used with the aim of reducing the risk of leakage. It consists of partial gastric devascularization through embolization or laparoscopy followed by esophagectomy and anastomosis at a second stage, thus providing the time for the gastric conduit to adapt to the acute ischemia at the time of its formation. This review analyzes the information from all currently available experimental and clinical studies with the purpose of assessing the current role of the technique and to provide future recommendations.

show abstract

Section: Appraisal Of the Literature Resultsmentioning

confidence: 99%

Ischemic Conditioning of the Stomach in the Prevention of Esophagogastric Anastomotic Leakage After Esophagectomy

Kechagias

Rossum

Ruurda

et al. 2016

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Verletzungen des N. vagus, des posterioren pulmonalen Plexus im Bereich der Trachealbifurkation und Unterbrechungen der arteriellen und lymphatischen Versorgung im Hilusbereich spielen eine wichtige Rolle in der Entstehung von postoperariven pulmonalen Komplikationen [7].…”

Section: Mefizeitpunlcteunclassified

“…Die Rate postoperativer pulmonaler Komplikationen liegt bei beiden Verfahren zwischen 30 und 40% mit einer Letalitfit, die nur in spezialisierten Zentren knapp unter 10% betr/igt [2, 6, 9, 12-15, 17-19, 21, 23-25]. ~ber m6gliche Folgen intraoperativer mechanischer Irritationen der Nervenbahnen des Mediastinums und deren Auswirkungen auf die Lunge und ihre Funktionen wird diskutiert [7,22]. ~ber m6gliche Folgen intraoperativer mechanischer Irritationen der Nervenbahnen des Mediastinums und deren Auswirkungen auf die Lunge und ihre Funktionen wird diskutiert [7,22].…”

unclassified

Die endoskopisch-mikrochirurgische Dissektion der Speiseröhre: ein Beitrag zur Reduzierung pulmonaler Komplikationen nach Oesophagusresektion?

Kipfmüller

Duda²,

Kessler³

et al. 1990

Langenbecks Arch Chir

View full text Add to dashboard Cite

A new endoscopic microsurgical technique for dissection of the esophagus has been developed and tried out in animals. With this technique the esophagus is dissected and removed via a cervical approach by means of a new operating endoscope. In a randomized animal study we compared endoscopic versus blunt dissection and versus abdominothoracic resection. During endoscopic dissection we saw significantly lower bleeding and no laceration of the pleural cavity or damage to the recurrent laryngeal or to the vagus nerve. Significant changes of hemodynamics or gas exchange were observed in the blunt dissection group: increase of heart frequency, decrease of arterial pressure and decrease of paO2. In contrast these parameters did not change in the endoscopic group.

show abstract