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Minimally Invasive Approach of Gastro-Esophageal Junction Cancer

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Minimally Invasive Surgery for Upper Abdominal Cancer

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Abstract

The short-term advantages of minimally invasive esophagectomy (MIE) in terms of less morbidity and better Quality of Life (QoL) in comparison with open esophagectomy (OE) became visible in the last few years. There are two main MIE approaches: a transthoracic resection (TTE; either accompanied by an intrathoracic or cervical anastomosis) or a transhiatal resection (THE; accompanied by a cervical anastomosis). However, controversy about what approach is best for gastro-esophageal junction tumors (GEJ) still exists and the choice of the approach is currently based on the surgeons’ discretion. In this chapter, we describe the indications for each minimally invasive approach for GEJ tumors, the surgical technique, the most common complications and their treatment, our own experiences, patient-survival rates, current developments and problems regarding surgical treatment for patients with cancer of the GEJ.

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Author information

Authors and Affiliations

  1. Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands

    Annelijn E. Slaman, Suzanne S. Gisbertz & Mark I. van Berge Henegouwen

  2. Department of Surgery, VU University, Amsterdam, The Netherlands

    Miguel A. Cuesta

Authors
  1. Annelijn E. Slaman
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  2. Suzanne S. Gisbertz
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  3. Mark I. van Berge Henegouwen
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  4. Miguel A. Cuesta
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Corresponding author

Correspondence to Suzanne S. Gisbertz .

Editor information

Editors and Affiliations

  1. Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands

    Miguel A. Cuesta

1 Electronic Supplementary Materials

Ivor Lewis esophageal resection with “flap and wrap” anastomosis technique (MP4 768222 kb)

Esophago-jejunostomy high anastomosis with Orvil device® (MP4 137787 kb)

Orvil circular stapler esophago-jejunostomy anastomosis (MOV 88708 kb)

Esophago-jejunostomy side-to-side anastomosis with linear stapler (MP4 141591 kb)

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Slaman, A.E., Gisbertz, S.S., van Berge Henegouwen, M.I., Cuesta, M.A. (2017). Minimally Invasive Approach of Gastro-Esophageal Junction Cancer. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_10

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  • DOI: https://doi.org/10.1007/978-3-319-54301-7_10

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-54301-7

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