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Esophagectomy and esophageal replacement by gastric pull-through procedure
International Surgery
|April 1, 1979
Summary
The gastric pull-through is a novel surgical method for hypopharyngeal and cervical esophageal cancers and strictures, avoiding thoracotomy. This technique transposes the stomach to the neck for reconstruction, simplifying esophagectomy.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Thoracic Surgery
Background:
- Carcinomas of the hypopharynx and cervical esophagus, and benign diffuse strictures of the thoracic esophagus often necessitate total esophagectomy.
- Traditional esophagectomy techniques can involve significant morbidity, including thoracotomy and pleural damage.
Purpose of the Study:
- To introduce and discuss the gastric pull-through procedure, a novel surgical technique for specific esophageal conditions.
- To present early clinical experience with this minimally invasive approach.
Main Methods:
- Total esophagectomy performed via blunt dissection, avoiding thoracotomy.
- Gastric transposition into the neck through the posterior mediastinum.
- Pharyngogastric or esophagogastric anastomosis creation.
Main Results:
- The gastric pull-through procedure was successfully applied in fourteen cases.
- The technique allows for total esophagectomy with avoidance of pleural damage and thoracotomy.
Conclusions:
- The gastric pull-through procedure represents an innovative approach for complex esophageal conditions requiring total esophagectomy.
- This technique offers a potentially less invasive alternative with promising early results.