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http://dx.doi.org/10.1093/bjs/znaf035 | DOI Listing |
J Chest Surg
September 2025
Division of Esophageal Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Surgical approaches for thoracic esophageal cancer have evolved from invasive open procedures to minimally invasive techniques such as thoracoscopic and robot-assisted surgery. While robotic surgery offers improved precision and visualization, it still relies on single-lung ventilation and may not significantly reduce postoperative complications. Recently, transcervical esophagectomy (TCE) using a mediastinoscope has emerged as a promising alternative, enabling esophageal resection and lymphadenectomy via the neck without thoracic incisions.
View Article and Find Full Text PDFEur J Surg Oncol
June 2025
Department of Esophageal Surgery, National Cancer Center Hospital, 5-5-1 Tsukiji, Chuo-ku, Tokyo, Japan; Course of Advanced Clinical Research of Cancer, Juntendo University Graduate School of Medicine, Tokyo, Japan. Electronic address:
Background: Oligometastatic disease in esophageal carcinoma includes metastases to distant organs and extra-regional lymph nodes. Pretracheal lymph node metastasis (No. 106pre in the Japanese classification) is classified as an M1 lymph node metastasis and has a poor prognosis.
View Article and Find Full Text PDFSci Rep
July 2025
Department of Nursing, Nursing School of Wuxi Taihu University, 68 Qianrong Rode, Binhu District, Wuxi, China.
The study aimed to establish and validate a nomogram model to predict postoperative delirium (POD) among esophageal cancer resection patients. Clinical data of 396 patients with esophageal cancer who underwent esophagectomy from November 2020 to June 2023 in the electronic medical records of cardiothoracic Surgery, Affiliated Hospital of Jiangnan University. Participants were randomly divided into training and testing sets in a 7:3 ratio.
View Article and Find Full Text PDFSurg Endosc
September 2025
Division of Esophageal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Background: Minimally invasive robot-assisted transcervical esophagectomy (TCE) has emerged as a novel technique for thoracic esophagectomy in patients with thoracic esophageal carcinoma, with sporadic reports highlighting its feasibility. However, its short-term surgical outcomes and safety profile in a well-defined series with a substantial number of cases remain unclear. This study aims to address this knowledge gap by systematically evaluating the feasibility and safety of this approach.
View Article and Find Full Text PDFSurg Endosc
September 2025
University Medical Center Utrecht, University Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Background: The optimal technique for intrathoracic esophagogastric anastomosis in esophagectomy remains undetermined. This study evaluates different anastomotic techniques in robot-assisted minimally invasive esophagectomy (RAMIE) and their impact on anastomotic leakage rates.
Materials And Methods: This observational, retrospective, comparative cohort study analyzed data obtained from the Upper GI International Robotic Association (UGIRA) Esophageal Registry.