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Transhiatal esophagectomy.

C D Shriver1, M Burt

  • 1Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.

Seminars in Thoracic and Cardiovascular Surgery
|October 1, 1992
PubMed
Summary
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The transhiatal esophagectomy (THE) is a versatile procedure for esophageal diseases. Studies show acceptable morbidity and mortality, with no significant impact on long-term survival for malignant conditions.

Area of Science:

  • Gastroenterology and Surgical Oncology

Background:

  • Transhiatal esophagectomy (THE) has evolved as a key surgical intervention over the last 20 years.
  • Indications for THE span benign and malignant esophageal conditions, and reconstructive surgery post-pharyngeal resection.

Purpose of the Study:

  • To evaluate the safety and efficacy of transhiatal esophagectomy (THE).
  • To compare THE outcomes with transthoracic resections for esophageal cancer.

Main Methods:

  • Focus on meticulous gastric tube formation and transposition for neo-esophagus creation.
  • Comparative analysis of morbidity, mortality, and long-term survival rates.

Main Results:

  • THE demonstrates acceptable morbidity and mortality rates when contrasted with transthoracic resections.

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  • No significant adverse effect on overall long-term survival observed when THE is employed for primary malignant esophageal disease treatment.

    • Conclusions:

    • Transhiatal esophagectomy is a viable and safe option for various esophageal pathologies.
    • THE offers comparable long-term survival outcomes to transthoracic approaches for esophageal cancer, supporting its use in oncologic resections.