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Related Experiment Videos

Transhiatal esophagectomy.

J J Terz, J D Beatty, W A Kokal

    American Journal of Surgery
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Transhiatal esophagectomy is a viable surgical option for esophageal cancer, particularly for lower and cervical tumors. This approach offers an alternative to transthoracic esophagectomy, with specific considerations for lesion size and location.

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    Area of Science:

    • Oncology
    • Surgical Gastroenterology
    • Thoracic Surgery

    Background:

    • Esophageal cancer management often involves complex surgical resections.
    • Transthoracic esophagectomy is a traditional approach, but carries significant morbidity.
    • Minimally invasive techniques are being explored to improve patient outcomes.

    Purpose of the Study:

    • To evaluate the efficacy and safety of transhiatal esophagectomy for various esophageal cancer locations.
    • To compare outcomes of transhiatal esophagectomy with transthoracic approaches.
    • To identify patient and tumor characteristics influencing the suitability of transhiatal esophagectomy.

    Main Methods:

    • Retrospective analysis of 36 patients undergoing transhiatal esophagectomy.
    • Data collected on tumor location, surgical procedure details, intraoperative and postoperative complications, and survival rates.

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  • Comparison of outcomes based on tumor site (cervical, middle, lower esophagus, gastroesophageal junction).

    • Main Results:

    • Transhiatal esophagectomy was performed for cancers in the cervical, middle, lower esophagus, and gastroesophageal junction.
    • Common postoperative complications included salivary fistula (11 patients) and subphrenic abscess (2 patients).
    • One, two, and three-year survival rates were 80%, 50%, and 33%, respectively, with an average blood loss of 1300 ml.

    Conclusions:

    • Transhiatal esophagectomy is a safe and effective alternative to transthoracic esophagectomy for cervical and lower esophageal cancers.
    • This technique is suitable for small lesions in the middle third of the esophagus.
    • Bulky upper esophageal tumors are better managed with thoracotomy.