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Transhiatal esophagectomy

J B Zwischenberger1, A B Sankar

  • 1Division of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, USA.

Chest Surgery Clinics of North America
|August 1, 1995
PubMed
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Transhiatal esophagectomy (THE) offers a safer surgical approach for esophageal cancer by avoiding chest incisions and reducing leak risks. This technique is valuable for palliative care in esophageal carcinoma.

Area of Science:

  • Surgical Oncology
  • Gastrointestinal Surgery

Background:

  • Esophageal carcinoma presents significant surgical challenges.
  • Traditional esophagectomy often involves thoracotomy, carrying risks of intrathoracic anastomotic leaks and sepsis.

Purpose of the Study:

  • To evaluate the utility of Transhiatal Esophagectomy (THE) with cervical esophogastric anastomosis.
  • To highlight THE as a valuable palliative surgical option for esophageal carcinoma.

Main Methods:

  • Transhiatal esophagectomy (THE) procedure.
  • Cervical esophogastric anastomosis construction.
  • Focus on anatomical knowledge, surgical detail, and patient selection.

Main Results:

  • THE avoids thoracotomy, mitigating risks associated with chest surgery.

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  • The cervical anastomosis reduces the likelihood of sepsis from anastomotic leaks.
  • THE proves to be an effective palliative tool.

    • Conclusions:

    • Transhiatal esophagectomy (THE) is a viable surgical option for palliative treatment of esophageal cancer.
    • Careful surgical technique and patient selection are crucial for successful THE outcomes.
    • This approach minimizes major surgical morbidities associated with esophageal cancer surgery.