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Updated: Sep 30, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
Transhiatal esophagectomy for benign and malignant conditions
Y Govardhan Rao1, Sujoy Pal, G K Pande
1Department of Gastrointestinal Surgery and Liver transplantation, All India Institute of Medical Sciences, New Delhi, India.
Background:
Experience with transhiatal esophagectomy (THE) for both benign and malignant diseases of the esophagus as practiced over an 18-year period is presented.
Methods:
Between 1982 and 2000, 411 consecutive patients underwent THE for both benign (n = 44) and malignant (n = 367) diseases of esophagus. Surviving patients were followed up for a mean of 30.4 months.
Results:
The overall operative mortality was 11% which had reduced to 6% for the last 111 patients. Operative mortality in the benign group was less than 5%. Respiratory complications were the most frequent cause of morbidity and mortality. Nonfatal anastomotic leaks occurred in 14%. The overall actuarial survival rates at 2, 5, and 10 years for carcinoma patients were 54%, 38%, and 18% respectively. The 2- and 5-year actuarial survival rates for postcricoid cancers were 83% and 64%, respectively.
Conclusions:
Transhiatal esophagectomy is safe and effective, and its results including long-term outcome are comparable with most published series.
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