Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
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J. Gastrointest. Surg. · Sep 2012
Influence of neoadjuvant radiotherapy on anastomotic leak after restorative resection for rectal cancer.
This study was undertaken to determine whether neoadjuvant radiotherapy is associated with an increased risk of anastomotic leak for rectal cancer patients undergoing restorative resection. ⋯ The findings suggest that neoadjuvant radiotherapy is not independently associated with an anastomotic leak for rectal cancer patients undergoing restorative resection and support a selective policy towards the use of a defunctioning ostomy on a case by case basis based on intra-operative judgment and consideration of tumor location, size, and patient characteristics.
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J. Gastrointest. Surg. · Sep 2012
Minimally invasive esophagectomy with cervical esophagogastric anastomosis.
Thoracoscopic dissection of the esophagus and laparoscopic dissection of the stomach with cervical esophagogastric anastomosis is a safe method for resection of esophageal and gastroesophageal junction malignancy. ⋯ Thoracoscopic dissection of the esophagus, laparoscopic dissection of the stomach, and a side-to-side stapled cervical esophagogastric anastomosis is safe, oncologically appropriate, and provides excellent functional results.