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Transhiatal esophagectomy without thoracotomy
J Brenøe1, N M Jensen, S Borgeskov
1Department of Thoracic Surgery, Bispebjerg Hospital, Copenhagen, Denmark.
Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1988
Abstract:
Twenty patients with cancer of the esophagus and/or cardia underwent transmediastinal esophagectomy by blunt dissection without thoracotomy. Resection and reconstruction with gastroesophageal anastomosis was performed in a single stage in 13 cases. The tumor was nonresectable in seven cases, and instead a substernal bypass was performed. The technical maneuvers are described, and the results and possible advantages and disadvantages of the transhiatal method are discussed.