Publications by authors named "Agnese Carresi"
Background/objectives: Esophagectomy represents a major oncological operation due to the surgical involvement of both the abdominal and thoracic cavities. The minimally invasive technique has been developed to minimize the operative impact on patients undergoing esophageal resections, often presenting with nutritional deterioration and poor functional reserves.
Methods: The present article provides an illustrative description of the total minimally invasive (laparo-thoracoscopic) Ivor Lewis esophagectomy for cancer integrated with complementary components of perioperative clinical management.
A tracheobronchoesophageal fistula (TBEF) is a rare but life-threatening complication after esophagectomy. The existing literature on TBEF management is limited and many previous recommendations are contradictory. We aimed to describe our series of TBEF after esophagectomy and compare it with other reported series.
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- Esophageal cancer surgery can lead to serious complications, like a condition called post-esophagectomy diaphragmatic hernia (PEDH), which can be life-threatening.
- A study looked at 414 patients who had surgery to understand how often PEDH happens and what might cause it.
- Out of the patients, 22 were found to have PEDH, most of whom had surgery to fix it, and factors like pre-surgery chemotherapy and having a complete response to treatment were linked to higher risks of developing PEDH.
Article Synopsis
- - The survey aimed to examine the implementation of enhanced recovery after surgery (ERAS) guidelines in Italian esophageal surgery units, targeting centers performing at least 10 esophagectomies annually.
- - Out of 20 centers, 13 responded, showing all had essential safety features, with a notable 84.6% adopting minimally invasive techniques for half of their surgeries.
- - Key findings included high adherence to nutritional support and postoperative care practices, but challenges like resistance to changes and insufficient paramedic staff were identified as barriers to fully adopting ERAS protocols.