Esophagogastrectomy without Thoracotomy for Adenocarcinoma of the Cardia and Lower Esophagus

Finley, Richard J.; Hobson, John; Duff, John

doi:10.1007/978-3-642-86432-2_133

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…Therefore, transhiatal esophagectomy (THE) has been adopted in several institutions [5,12,21,25]. The risks and limitations of THE are bleeding and mediastinal injury due to blind manipulation of the esophagus and the inability to perform lymph node dissection.…”

mentioning

confidence: 99%

Mediastinoscope-assisted transhiatal esophagectomy for esophageal cancer

et al. 2004

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mentioning

confidence: 99%

Mediastinoscope-assisted transhiatal esophagectomy for esophageal cancer

et al. 2004

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“…A few reports suggested that transhiatal esopha gectomy had a lower incidence of respiratory complica tion, morbidity and mortality than transthoracic esopha gectomy [12,14], On the other hand, some recent reports revealed that there was no significant difference in the incidence of respiratory complication, morbidity or mor tality between transhiatal esophagectomy and transtho racic esophagectomy [15,16]. It is still unknown whether thoracotomy during operation plays an important role in postoperative respiratory insufficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Pulmonary complications continue to be a major cause of postoperative morbidity and mortality after surgery for carcinoma of the esophagus [10,11], Recently, transhiatal esophagectomy is offen attempted for thoracic esophageal cancer to avoid postoperative respiratory insufficiency [12,13]. A few reports suggested that transhiatal esopha gectomy had a lower incidence of respiratory complica tion, morbidity and mortality than transthoracic esopha gectomy [12,14], On the other hand, some recent reports revealed that there was no significant difference in the incidence of respiratory complication, morbidity or mor tality between transhiatal esophagectomy and transtho racic esophagectomy [15,16].…”

Section: Discussionmentioning

confidence: 99%

Thoracic Esophagectomy for Lower Esophageal Cancer through Left Oblique Thoracolaparotomy and Right Posterolateral Thoracotomy

et al. 1995

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Radical operations for lower esophageal cancer, including lymph node dissection in the upper, middle and lower mediastinal and the upper abdominal regions were performed through a left oblique thoracolaparotomy and a right posterolateral thoracotomy in 5 cases. A satisfactory surgical view through the oblique thoracolaparotomy insured easy, safe and complete removal of the tumor and the lymph nodes in the lower mediastinal and upper abdominal regions, and additional right posterolateral thoracotomy was useful for the lymph node dissection in the upper and middle mediastinum. Reconstruction was performed by the intrathoracic anastomosis between the upper esophagus and the gastric tube or jejunum using the EEA stapling device. Extubation of a tracheal tube was possible within 3 days after operation in all cases, and no respiratory complication was noted in any case. This new approach for lower esophageal cancer is considered to be useful for easy, safe and complete removal of the tumor and the regional lymph nodes.

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“…Hipofarenks kanserlerinde tümörün torasik inletten daha aşağıya inmediği ve mediastinal lenfadenopatinin eşlik etmediği olgular, torasik bölüm tümörlerinde Evre IIa ve daha erken olgular, kardiya ve özofagus alt ucu tümörlerinde yine mediastinal patolojik lenf bezi olmayan olgular ile torakotomi yapılması için solunum fonksiyonları yetersiz olan veya kısa anestezi alması gerekli olan medikal kontrendikasyonlu olgular transhiatal özofagus rezeksiyonu için uygun olan olguları oluşturur (7)(8)(9).…”

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Transhıatal Esophageal Resectıon

Özkan¹

2016

Toraks Cer Bult

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Transhiatal esophageal resection is a surgical procedure for both benign and malignant esophageal disease, in appropriate cases. While transhiatal esophagectomy has advantages when compared to transthoracic approaches, it is limited by the potential risk of injury to the great vessels and tracheobronchial system with large tumors, as well as the inability to perform an extensive lymph node dissection. In this article, we review indications, preoperative evaluation, surgical technique, postoperative care, complications of transhiatal esophageal resection, and the results of large clinical series.

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Esophagogastrectomy without Thoracotomy for Adenocarcinoma of the Cardia and Lower Esophagus

Cited by 9 publications

References 8 publications

Mediastinoscope-assisted transhiatal esophagectomy for esophageal cancer

Mediastinoscope-assisted transhiatal esophagectomy for esophageal cancer

Thoracic Esophagectomy for Lower Esophageal Cancer through Left Oblique Thoracolaparotomy and Right Posterolateral Thoracotomy

Transhıatal Esophageal Resectıon

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