Comparison of transhiatal laparoscopy versus blind closed-chest cervicotomy and laparotomy for esophagectomy in children

Maurer, Sabine Vasseur; Roessingh, Anthony de Buys; Reinberg, Olivier

doi:10.1016/j.jpedsurg.2012.10.070

Cited by 10 publications

(17 citation statements)

References 13 publications

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“…The importance and efficacy of esophagectomy under direct vision were previously shown in a comparative study by Vasseur Maurer et al . . The most inflamed part of the esophagus was the proximal section, where it may be relatively difficult to dissect transhiatally, as it was in our case.…”

Section: Discussionmentioning

confidence: 56%

Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement

Dökümcü

Divarcı

Özcan

2018

Asian J Endoscop Surgery

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Introduction:We present a novel approach to single-incision laparoscopyassisted gastric transposition combined with thoracoscopic esophagectomy in a child with long-segment corrosive esophageal stricture (CES).Materials and Surgical Technique: A 2.5-year-old boy with a history of caustic ingestion underwent periodic esophageal dilatations at 3-week intervals, four sessions of topical mitomycin C application, and a strict antacid/H 2 antagonist therapy for 8 months. The esophageal replacement was indicated because of persistent corrosive esophageal stricture. First, thoracoscopic native esophagus dissection was performed. After gastric mobilization with single-incision laparoscopy, esophagectomy and esophagogastric anastomosis were performed through the cervical incision. There was no complication, and the patient had gained weight by the end of the 12-month follow-up.Discussion: Single-incision laparoscopy-assisted gastric transposition combined with thoracoscopic esophagectomy is feasible, safe, and effective in patients with corrosive esophageal stricture.

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Section: Discussionmentioning

confidence: 56%

Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement

Dökümcü

Divarcı

Özcan

2018

Asian J Endoscop Surgery

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“…Colon and ileo-colon are interposition conduits [ Table 2 ]. [ 12 , 19 , 23 , 24 , 26 , 34 , 36 , 41 ] Most are isoperistaltic, based on left colic vessels (especially its ascending branch), favored owing to its unvarying anatomy, optimal luminal diameter, presence of marginal arcade and robust blood supply. [ 12 , 19 , 23 , 32 , 35 , 36 , 41 , 55 , 56 ] Long conduits, including distal 15 cm of ileum, can be based on left colic vessels.…”

Section: Resultsmentioning

confidence: 99%

Minimal access surgery of corrosive and thermal strictures of the foregut

Vasudevan

Banerjee

Ghosh³

et al. 2023

Journal of Minimal Access Surgery

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Background and Aim: Conventional surgery for caustic/thermal strictures (CS/TS) entails considerable trauma, which may be mitigated by minimal access surgery (MAS). Experience with its use in CS/TS is both heterogeneous and limited, hence, warrants a comprehensive review. Methods: Medical literature/indexing databases were systematically searched for pertinent articles published in English, from 1990 to 2021, and analysed. Results: Fifty relevant articles, pertaining to over 200 patients, were found. They showed that MAS is feasible in CS/TS management. It reduces the access damage in chest and abdomen whilst facilitating resection or bypass of the affected gut segment through different combination of operations, sequence of steps, conduits and routes. The procedures range from completely minimal access to hybrid ones, with reduced complications and faster recovery. Hybrid procedures prove as expeditious as open ones. Conclusions: MAS proves efficacious in restoring alimentary continuity in corrosive/thermal strictures of the foregut.

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“…The dissection can be pursued as far up as possible, usually to just below the clavicle. Using this technique in more than 40 cases, no vascular or bronchial wound occurred, and the rate of total removal of the esophagus increased up to 83% without complications (Table ). Moreover, it appeared that the delay to extubation and the length of stay in the pediatric intensive care unit (PICU) was shorter after laparoscopic transhiatal esophagectomy …”

Section: Surgical Proceduresmentioning

confidence: 99%

“…After experience in more than 200 cases, we still consider this step as the most dangerous part of the procedure, showing various complications in 18% of procedures. The esophagus was totally removed in 45% of cases and partially in 40% …”

Section: Surgical Proceduresmentioning

confidence: 99%

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Esophageal replacements in children

Reinberg

2016

Annals of the New York Academy of Sciences

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Replacement of the esophagus in children can be performed in cases of malformations, injuries, or acquired conditions. The new esophagus should allow normal oral feeding, with little or no gastroesophageal reflux, and be able to work well for the lifetime of the patient. For over a century, many substitutes have been used, such as segments of colon, the entire stomach, gastric tubes, or parts of the small bowel, but none are perfect or function like a normal esophagus. Esophageal replacements are demanding challenges for pediatric surgeons. Here, I review the different techniques and the pitfalls related to these procedures on the basis of our experience of more than 300 esophageal replacements in children performed since 1989.

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Comparison of transhiatal laparoscopy versus blind closed-chest cervicotomy and laparotomy for esophagectomy in children

Cited by 10 publications

References 13 publications

Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement

Single‐incision laparoscopy‐assisted gastric transposition combined with thoracoscopic esophagectomy for esophageal replacement

Minimal access surgery of corrosive and thermal strictures of the foregut

Esophageal replacements in children

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