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Related Experiment Videos

[Transhiatal esophagectomy].

G I Lukomskiĭ, A M Shulutko, A Iu Moiseev

    Khirurgiia
    |August 24, 2001
    PubMed
    Summary
    This summary is machine-generated.

    Manual transhiatal esophagectomy for cardioesophageal cancer is linked to complications, especially for tumors in the upper esophagus. Instrumental removal is safer for upper thoracic esophageal tumors.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Context:

    • Evaluation of 56 transhiatal esophagectomies for cardioesophageal cancer between 1985 and 1999.
    • Surgical repair involved one-stage plastic reconstruction using gastric flaps or colon.

    Purpose:

    • To assess the safety and efficacy of manual versus instrumental transhiatal esophagectomy for cardioesophageal cancer based on tumor location.
    • To identify optimal surgical approaches for different tumor sites within the esophagus.

    Summary:

    • Manual transhiatal esophagectomy in 35 cases resulted in significant intraoperative complications, including fatalities, particularly for tumors in the middle and upper thoracic esophagus.
    • Instrumental transhiatal removal, used in 21 cases for tumors in the lower third of the esophagus, demonstrated no intraoperative complications or fatalities.

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  • Manual transhiatal esophagectomy is deemed undesirable for upper thoracic tumors but indicated for lower esophageal tumors.

    • Impact:

    • Highlights the risks associated with manual transhiatal esophagectomy for upper thoracic esophageal tumors.
    • Supports the use of instrumental transhiatal removal as a safer alternative for upper thoracic esophageal cancer surgery.
    • Informs surgical decision-making for cardioesophageal cancer treatment based on tumor location.