Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Oesophagectomy without thoracotomy. Experiences from 30 cases.

G M Hambraeus1, B S Walther

  • 1Department of Thoracic Surgery, Lund University, Sweden.

Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1988
PubMed
Summary

This study explored a less invasive surgical approach for esophageal cancer, avoiding thoracotomy. While reducing operative time and morbidity, it did not improve overall patient tolerance, especially in older individuals.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Sutureless small bowel anastomoses: experimental study in pigs.

The European journal of surgery = Acta chirurgica·1999
Same author

[Surgical resection of lung cancer. Supplemented with radiotherapy and chemotherapy may improve the therapeutic results].

Lakartidningen·1997
Same author

Prediction of hospital stay after total gastrectomy.

Anticancer research·1997
Same author

Anastomotic diameter of circular stapled oesophagojejunal anastomoses and its implication for weight development. A clinical and experimental study.

The European journal of surgery = Acta chirurgica·1995
Same author

Are intersecting staple lines a hazard in intestinal anastomosis?

Diseases of the colon and rectum·1992
Same author

Left-sided hepatectomy with a linear stapling device: an experimental study on pigs.

HPB surgery : a world journal of hepatic, pancreatic and biliary surgery·1992

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Esophageal cancer treatment often involves thoracotomy, a procedure associated with significant morbidity.
  • Minimally invasive techniques are sought to improve surgical outcomes and patient tolerance.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of resecting intrathoracic esophagus without thoracotomy.
  • To assess the suitability of this approach for specific patient groups and tumor locations.

Main Methods:

  • Resection of the intrathoracic esophagus using only abdominal and cervical incisions in 29 patients (26 with malignancies, 3 with benign lesions).
  • Reconstruction utilized stomach, colon interposition, or jejunal loop.
  • Surgical approach selection prioritized reduced surgical tolerance or need for safe margins.

Related Experiment Videos

Main Results:

  • The procedure was primarily used for lower esophageal and cardia tumors, excluding most mid-esophageal cases.
  • Intrathoracic complications, like pleural bleeding, were noted.
  • A 24% overall mortality rate was observed, influenced by higher mortality in older patients.

Conclusions:

  • Avoiding thoracotomy reduces operative time and postoperative morbidity but does not guarantee better tolerance, particularly in elderly patients.
  • Careful patient selection and awareness of potential intrathoracic complications are crucial for this surgical technique.