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[Transhiatal esophagectomy].

F Calotă1, P Mănescu, I Georgescu

  • 1Clinica I Chirurgie, Spitalul Clinic Judeţean de Urgenţă Bd. 1 Mai nr. 60, 1100 Craiova.

Chirurgia (Bucharest, Romania : 1990)
|March 6, 2004
PubMed
Summary
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Transhiatal esophagectomy is a safe and effective alternative to transthoracic esophagectomy for esophageal diseases. This approach offers comparable survival rates with potentially lower morbidity and mortality.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Thoracic Surgery

Context:

  • Esophageal surgery is a critical intervention for benign and malignant conditions.
  • Transthoracic esophagectomy has historically been the standard approach.
  • Minimally invasive techniques are increasingly explored to improve patient outcomes.

Purpose:

  • To evaluate the safety and efficacy of transhiatal esophagectomy (THE) without thoracotomy.
  • To compare THE outcomes with those of transthoracic esophagectomy (TTE).
  • To assess the feasibility of THE for various esophageal pathologies.

Summary:

  • A retrospective study of 40 patients undergoing THE between 1991-2001 for conditions including caustic esophageal stenosis and esophageal cancer.
  • The majority of patients (34) underwent THE, with 3 having stripping and 3 a combined approach.

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  • Postoperative complications included laryngeal nerve injuries (2), pulmonary issues (13), and anastomotic leaks (5). Two deaths occurred postoperatively.

    • Impact:

    • Transhiatal esophagectomy demonstrates viability as an alternative to transthoracic esophagectomy.
    • THE presents a potentially safer surgical option with lower reported morbidity and mortality.
    • This approach may offer similar survival rates to TTE for managing esophageal diseases.