Publications by authors named "Teun J Weijs"
Article Synopsis
- Robot-assisted cervical esophagectomy (RACE) is a complex surgical method for treating tumors in the middle and upper esophagus, avoiding the need for a traditional transthoracic approach.
- The study outlines a detailed guide to key anatomical landmarks and dissection planes necessary for safely performing RACE, based on dissections of formaldehyde-fixed body donors.
- Key anatomical structures like the carotid sheath and visceral fascia serve as important reference points to help surgeons navigate potential risks and improve the overall success of the procedure.
Background: Patients with upper third esophageal cancer or esophageal cancer with upper mediastinal paratracheal lymph node metastases are often precluded from surgery because of technical difficulties. With the aid of robotic surgery, an excellent overview and reach of the thoracic inlet can be accomplished. In this way, patients with upper mediastinal esophageal cancer are eligible for esophageal resection with curative intent.
View Article and Find Full Text PDFImplementation of (robot assisted) minimally invasive esophagectomy and increased knowledge of the relation between the autonomic nervous system and the immune response have led to new insights regarding the surgical anatomy of the esophagus. First, two layers of connective tissue were identified; the aorto-esophageal and aorto-pleural ligaments that separate the peri-esophageal compartment, containing vagus nerves, carinal lymph nodes and trachea, from the para-aortic compartment; containing thoracic duct and azygos vein. Second the surgical anatomy of the pulmonary vagus nerve branches has been described in detail.
View Article and Find Full Text PDFBackground: Thoracic chyle leakage is a major complication of esophagectomy. In this study our treatment strategy for chyle leakage was evaluated and its risk factors were identified.
Methods: According to the Esophagectomy Complications Consensus Group recommendations, chyle leakage was classified as follows: I, enteric dietary modifications; II, total parenteral nutrition (TPN); and III, interventional or surgical therapy.