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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Updated: Jul 15, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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Laparoscopic transhiatal esophagectomy: outcomes.

Renam Tinoco1, Luciana El-Kadre, Augusto Tinoco

  • 1Department of Surgery, Hospital São José do Avaí, Itaperuna, Rio de Janeiro, Brazil. rctinoco@uol.com.br

Surgical Endoscopy
|April 25, 2007
PubMed
Summary

Laparoscopic transhiatal esophagectomy offers a safe alternative for esophageal cancer treatment, potentially improving outcomes compared to open surgery. This minimally invasive approach is suitable for experienced surgeons, demonstrating acceptable morbidity and mortality rates.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic transhiatal esophagectomy is a complex procedure for esophageal diseases.
  • It is increasingly accepted for esophageal cancer, avoiding thoracotomy and associated complications.
  • This study evaluates outcomes of this minimally invasive technique.

Purpose of the Study:

  • To retrospectively analyze patient outcomes after laparoscopic transhiatal esophagectomy for esophageal cancer.

Main Methods:

  • Retrospective analysis of 78 patients undergoing laparoscopic transhiatal esophagectomy from 1993 to 2006.
  • Focus on 68 patients with esophageal cancer, predominantly squamous cell carcinoma.
  • Data collected on operative time, conversion rates, complications, and survival.

Main Results:

  • A 6.4% conversion rate and a mean operative time of 153 minutes were observed.
  • Postoperative cervical leak rate was 12.8%, with a 30-day mortality of 5.1%.
  • Four-year survival rate was 19% in a subgroup with available follow-up data.

Conclusions:

  • Laparoscopic transhiatal esophagectomy is a safe and viable option for experienced surgeons.
  • This approach may lead to improved mortality, reduced hospital stay, and better overall outcomes than open surgery.