Yuan Yu,Rui Liang,Yibo Xue et al. Yuan Yu et al.

Methods: In this multicentre, parallel, open-labelled trial, eligible patients who prepared to undergo oesophagectomy in three hospitals in China were randomly assigned (1:1) to an MBP or NBP group.

Lee S Kyang,Simeng Li,Andrew Tse et al. Lee S Kyang et al.

Background: Chylothorax after oesophagectomy occurs in up to 8.9 % of cases, resulting in significant morbidity, such as, malnutrition, respiratory distress, and immunosuppression.

Theeran Kaur Gill,Guo Hou Loo,Guhan Muthkumaran et al. Theeran Kaur Gill et al.

McKeown's minimally invasive oesophagectomy has been shown to reduce hospitalisation, with reduced cardiopulmonary morbidities. However, it is not without complications, and an iatrogenic tracheobronchial injury (TBI) could occur intraoperatively during anatomical plane dissection.

Eric Matthée,Sander Ubels,Bastiaan Klarenbeek et al. Eric Matthée et al.

Background: There is a worldwide trend towards minimally invasive oesophagectomy with intrathoracic anastomosis in oesophageal cancer surgery....Minimally invasive oesophagectomy with intrathoracic anastomosis has been shown to result in fewer anastomotic leaks, but cost-effectiveness is yet to be established....Patients with mid/distal oesophageal or gastro-oesophageal junction cancer were randomly assigned to transthoracic minimally invasive oesophagectomy with either intrathoracic or cervical anastomosis....Results: A total of 245 patients randomized for transthoracic minimally invasive oesophagectomy with either intrathoracic (122) or cervical (123) anastomosis were included in the cost-effectiveness analysis....Conclusion: Transthoracic minimally invasive oesophagectomy with intrathoracic anastomosis was found to be cost-effective compared with transthoracic minimally invasive oesophagectomy with cervical anastomosis.

David I Watson,Josipa Petric,Muktar Ahmed David I Watson

Ellen Jonson,Eivind Gottlieb-Vedi,Fredrik Mattsson et al. Ellen Jonson et al.

Background: It is uncertain which type of anastomosis carries the lowest risk of anastomotic insufficiency after oesophagectomy for oesophageal cancer....Methods: This bi-national population-based cohort study included almost all patients (>95 %) who underwent oesophagectomy for cancer in Sweden from 2011 to 2020 or in Finland from 2004 to 2016....In patients who underwent minimally invasive oesophagectomy, handsewn anastomosis was associated with a decreased risk compared to stapled anastomosis (OR = 0.55, 95 % CI 0.35-0.85; n = 999), while no such association was found after open oesophagectomy (OR = 1.04, 95 % CI 0.72-1.51; n = 1167)....Conclusions: Regarding anastomotic insufficiency, handsewn anastomosis may be favourable compared to stapled in minimally invasive oesophagectomy for oesophageal cancer, while no such benefit was found for open oesophagectomy.

Michael Thomaschewski,Markus Zimmermann,Steffen Deichmann et al. Michael Thomaschewski et al.

The resection was performed with robotic assistance, while the reconstruction (double-tract reconstruction) was performed via a mini-laparotomy.Here, we describe for the first time the surgical procedure of distal transhiatal oesophagectomy using the Hugo robotic-assisted surgery system in a patient

Satoru Matsuda,Pieter van der Sluis,Hiraku Kumamaru et al. Satoru Matsuda et al.

Cain Anderson,Rebecca Veitch,Binura Lekamalage et al. Cain Anderson et al.

Methods: This retrospective study included all patients undergoing oesophagectomy at Tauranga Hospital between 2014 and 2023, with primary analysis comparing mortality and complications to the ECCG benchmarks....If similar centres achieve good outcomes, consideration must be given to keeping regional oesophagectomy services to reduce inequities and improve access to healthcare.

Renishka Sellayah,Girish Pande Renishka Sellayah

This study aimed to audit a regional hospital's experience over ten years and compare it to outcomes from national and international centres to support the view that oesophagectomy can be performed safely in select regional centres in Australia....Methods: Patients undergoing oesophagectomy at a single regional hospital in North-East Tasmania, Australia between January 2014 and December 2023 were retrospectively identified.