Publications by authors named "I S Martijnse"
Open esophagectomy is considered to be the main surgical procedure in the world for esophageal cancer treatment. Implementing a new surgical technique is associated with learning curve morbidity. The objective of this study is to determine the learning curve based on anastomotic leakage (AL) after implementing minimally invasive Ivor Lewis esophagectomy (MI-ILE) in January 2015.
View Article and Find Full Text PDFIntroduction: Anastomotic leakage (AL) is one of the most feared complications after esophagectomy for esophageal cancer. We investigated the role of serum C-reactive protein (CRP) and drain amylase levels in the early detection of AL.
Methods: This is a retrospective study of 193 patients who underwent a minimally invasive Ivor-Lewis procedure between January 2017 and October 2021.
Background: After esophagectomy for esophageal carcinoma, 2-13% of patients develop brain metastases (BM) which are associated with a poor prognosis. Further investigation into treatment and prognosis is beneficial given the limited available literature and varying outcomes.
Methods: Case files of all 339 patients who underwent minimally invasive esophagectomy (MIE) in a single high-volume center between January 2015 and December 2020 were retrospectively reviewed.
Article Synopsis
- The study aimed to analyze the learning curves associated with Ivor Lewis totally minimally invasive esophagectomy (TMIE) across different hospitals, considering factors related to hospitals and surgeons.
- It found that hospitals performing more than 50 procedures a year had shorter learning curves and less associated morbidity compared to those with fewer cases.
- However, factors like surgeon experience, attending specialized clinics, completing fellowships, or receiving proctor supervision did not show significant improvement in learning efficiency.