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Related Experiment Videos

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
PubMed
Summary
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Transhiatal esophagectomy without thoracotomy offers a minimally invasive approach for esophageal cancer. This technique allows for resection and reconstruction or bypass in a single stage, with outcomes and feasibility discussed.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Thoracic Surgery

Background:

  • Esophageal cancer presents significant surgical challenges.
  • Traditional esophagectomy often requires thoracotomy, carrying substantial morbidity.
  • Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of transhiatal esophagectomy without thoracotomy.
  • To describe the technical aspects of this surgical approach.
  • To discuss the advantages and disadvantages of the transhiatal method for esophageal and cardia cancers.

Main Methods:

  • Twenty patients with esophageal and/or cardia cancer underwent transhiatal esophagectomy.
  • The procedure involved blunt dissection without thoracotomy.

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  • Resection and reconstruction or substernal bypass were performed as indicated.

    • Main Results:

    • The transhiatal approach was technically feasible in all 20 patients.
    • Successful resection and single-stage gastroesophageal anastomosis were achieved in 13 cases.
    • A substernal bypass was performed in seven nonresectable cases.

    Conclusions:

    • Transhiatal esophagectomy without thoracotomy is a viable option for selected esophageal and cardia cancer patients.
    • This approach may offer advantages in terms of reduced surgical trauma.
    • Further investigation into the long-term outcomes and comparative benefits is warranted.