Laparoscopic versus open transhiatal esophagectomy for distal and junction cancer. Esofagectomía laparoscópica frente a abierta en el cáncer esofágico distal. Request PDF on ResearchGate | Esofagectomía transhiatal por vía abierta y vía laparoscópica para el cáncer de esófago: análisis de los. La esofagectomía transhiatal mínimamente invasiva, en algunos enfermos con acalasia, tiene todos los beneficios del mínimo acceso, y con el empleo de un.

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Introduction The incidence of adenocarcinoma of the esophagus and gastro-esophageal GE junction is rapidly rising 1,2. Esocagectomia Center Support Center. The comparative series of case-control studies by Perry et al. Sometimes small emphysema occurs in the cervical region and the veins of the region become prominent.

There was no mortality, the mean surgery time was minutes toand improvement was noted in all evaluated parameters.

Esofagectomía laparoscópica frente a abierta en el cáncer esofágico distal y de la unión

Sixty transhiatal esophagectomies by laparoscopy were performed between September and Decemberwith preservation of the vagus nerve in the last ten cases.

Even though many authors still include the drainage of the pylorus in the operative procedure transhlatal Laparoscopic transhiatal esophagectomy with esophagogastroplasty. The stomach was pulled up to the neck by the posterior mediastinum. The median number of harvested lymph nodes was 14 interquartile range: Patients and methods From January through Decemberfifty consecutive esofagectlmia who underwent laparoscopically assisted transhiatal esophageal resection in the VU university medical center were prospectively followed.

Laparoscopic enucleation of a horseshoe-shaped leiomyoma of the distal esophagus. Discussion To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers. Laparoscopically assisted transhiatal resection for malignancies of the distal esophagus.


There was one death in each group related to gastric stasis due to the lack of pyloroplasty 23 Surgical treatment analysis of idiopatic esphageal acalasia. Minimally invasive esophagectomy could further improve post-operative outcome.

Minimally invasive surgical staging for esophageal cancer. The median age in the ETHA group was VU University Medical Centre.

Esofagectomía transhiatal videoasistida en la acalasia esofágica

To our knowledge, this is the first prospective randomized trial to perform this assessment. Thirteen were excluded because they did not adhere to the proposed treatment.

Swanstrom LL, Hanson P. Surgical complications of Chaga’s esofabectomia This effect was only present for minimally invasive transthoracic esophagectomy as the case-control studies reporting on laparoscopic transhiatal esophagectomy had a small sample size. Esophageal resection for cancer of the esophagus: Next the stomach is mobilized including a lymphadenectomy of the celiac trunk.

Conversion rates of Blood loss was estimated at mL. Some degree of gastric atony may be found in the early postoperative period, attributed to vagotomy and dysphagia of the chagasic stomach, occasionally requiring the use of prokinetics, even though they are not very effective. The cervical esophagus can now be divided and with the hand transhiatwl the first surgeon in the abdomen and under laparoscopic vision controlled stripping can be safely performed.

They demonstrated that this is a practical and safe technique with excellent postoperative results.

The leiomyoma was completely enucleated. There is no consensus among surgeons 16which is the best technique for the treatment of advanced forms of megaesophagus 246141518 Services on Demand Journal.

Esofagectomía transhiatal por SILS (acceso único) para cáncer

From January through Decemberfifty consecutive patients who underwent laparoscopically assisted transhiatal esophageal resection in the VU university medical center were prospectively followed. Thoracoscopic and laparoscopic esophagectomy. Treatment of acalasia lessons learned with Chagas’Disease.


The laparoscopic transhiatal approach has been performed in more limited number of patients by different authors 13,20, Another variable studied in this study was the pain score, whose results were better for the laparoscopic group, but with no statistical difference. Given that the dsofagectomia common mode of failure of a laparoscopic Nissen fundoplication is herniation of the fundoplication into the chest, as our experience increases, we recognize that reduction of the gastroesophageal junction below the diaphragmatic hiatus without tension is problematic and foreshortening of the esophagus is a real entity.

Randomized trial comparing side-to-side stapled and hand-sewn esophagogastric anastomosis in neck. Comparison of laparoscopic inversion esophagectomy and open transhiatal esophagectomy for high-grade dysplasia and stage I Esophageal Adenocarcinoma. Lateral dissection is performed on both sides at the level of the pleurae, which are always opened and en bloc resection is performed when needed. There was ttranshiatal difference between laparoscopic minimally invasive trans-hiatal esophagectomy EMIL and open trans-hiatal esophagectomy ETHA in all studied variables, thus allowing to be considered equivalent.

Transhiatal esophagectomy for esophageal cancer. Services on Demand Journal. With this modified procedure, the esophagus is resected by means of a right-sided thoracotomy combined with a laparotomy using cervical esophagogastric anastomosis 3,4.

The description of the thoracoscopic lower esophageal myotomy covers all aspects of the surgical procedure used for the management of achalasia.