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A uniform approach for esophagectomy with or without thoracotomy
P W de Graaf1, F J Idenburg, H Obertop
1Department of Surgery, University Hospital, Utrecht, The Netherlands.
Surgery, Gynecology & Obstetrics
|August 1, 1991
Summary
Total esophagectomy for esophageal carcinoma is recommended. A cervico-abdominal approach using the stomach for reconstruction, sometimes extended with thoracotomy, was successfully used in over 70 patients.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
Background:
- Esophageal carcinoma necessitates surgical intervention, often requiring total esophagectomy.
- Reconstruction of the alimentary tract is a critical component of esophagectomy.
Purpose of the Study:
- To describe a preferred surgical technique for total esophagectomy.
- To highlight the utility of a cervico-abdominal approach with gastric reconstruction.
- To present a method facilitating multi-stage procedures without patient repositioning.
Main Methods:
- A cervico-abdominal surgical procedure for total esophagectomy.
- Gastric pull-up for alimentary tract reconstruction.
- Inclusion of right-sided thoracotomy when necessary.
- A specific positioning and draping technique for multi-stage operations.
Main Results:
- The described method was successfully applied in over 70 patients within two years.
- The technique allowed for seamless execution of three-stage operations.
- No patient repositioning or re-prepping was required for extended procedures.
Conclusions:
- The cervico-abdominal approach with gastric reconstruction is a viable and effective method for total esophagectomy.
- The employed positioning and draping technique enhances surgical efficiency for complex, multi-stage esophageal cancer surgeries.