[Video-assisted closed-thorax esophagectomy in cancer. A technical proposal]
Related Experiment Video
Updated: Oct 31, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
P Sammartino1, A Bolognese, P Chirletti
1Cattedra di Chirurgia Oncologica, Università degli Studi di Roma, La Sapienza, Roma.
Abstract:
Blunt transhiatal esophagectomy is largely performed in selected cases of esophageal cancer following the experience of Mark Orringer. We have recently performed five consecutive video-laparoscopy-assisted transhiatal esophagectomies in order to help the esophageal dissection and to avoid injuries to mediastinal structures. In our experience a routine use of laparoscopic assistance during transhiatal esophageal dissection improves the safety of this technique and lowers postoperative complications. The results recently reported from neoadjuvant treatments (radio-chemotherapy) emphasize the role of transhiatal esophagectomy for cancer.
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