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Original Articles: General Thoracic

Invited Commentary

Department of Surgery, Virginia Mason Medical Center, 1100 Ninth Ave, Seattle, WA 98111

(Email: gtsdel@vmmc.org).

The first 20% of the full text of this article appears below.

Dr Mine and colleagues [1] present us with an interesting, retrospective review from a high-volume center (1,146 esophageal resections during a 19-year study period) that examines a particularly pertinent subpopulation of patients requiring esophageal resection for cancer, without the option for reconstruction with a gastric conduit. The authors provide us with two themes within the article. One involves the technical considerations required for esophageal reconstruction under these circumstances, and the second is the assessment of survival results in patients who also undergo extended lymphadenectomy. I believe it is the technical considerations that provide the most interesting avenue for further discussion.

The authors changed their standard technique of colon graft harvest midway through their study, and ultimately 65% of . . . [Full Text of this Article]

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