[An optimum miniinvasive approach in esophageal replacement with stomach]

Esophagectomy was performed by transhiatal approach from laparotomy or laparotomy combinated with thoracotomy till the beginning of 90th of 20th century. These procedures are associated with high morbidity (40-80%) and mortality (5-15%) rate. There is a tendency of using minimally invasive approach in esophageal surgery with preserving oncological radicality. Based on our experiences with minimally invasive esophagectomy and gastric replacement we would like to introduce a technique which is considered optimal in our department.