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Updated: Jun 26, 2026
Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
Published on: September 11, 2021
Transhiatal oesophagectomy: techniques, tips and outcomes
A Rohatgi1, M J Forshaw, R P Sutcliffe
1Department of General Surgery, Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, UK.
Aim:
To demonstrate our technique and valuable tips for transhiatal oesophagectomies.
Method:
215 patients underwent transhiatal oesophagectomies in our unit between 2000 and 2006.
Results:
In-hospital mortality was 0.9%. Anastomotic leak in 12 patients (5.6%). Chyle leak was seen in five patients and recurrent nerve neuropraxia in six patients. Iatrogenic splenectomy rate was 6%. The median operative time was 151 minutes (range 93-276 minutes). Overall median length of hospital stay was 15 days (range 8-95 days). The median survival for all patients undergoing transhiatal oesophagectomy for invasive malignancy was 42.9 months and the one-year and five-year survival were 81% and 48% respectively.
Conclusion:
This is a safe and oncologically sound procedure. We feel that the tips can be helpful for anyone performing this procedure.
