Surgical Endoscopy

, Volume 3, Issue 2, pp 63–69 | Cite as

Endoscopic microsurgical dissection of the esophagus

Results in an animal model
  • K. Kipfmüller
  • M. Naruhn
  • A. Melzer
  • S. Kessler
  • G. Bueß
Original Articles

Summary

Blunt dissection of the esophagus is considered the least invasive technique in the treatment of either benign or malignant diseases of the esophagus. Its disadvantage is that it has to be carried out blindly. The results may be uncontrollable hemorrhage, unrecognized injuries to the trachea, and damage to the recurrent laryngeal nerve. In order to reduce the degree of invasivness a new endoscopic microsurgical technique for the dissection of the esophagus has been developed and tried out in animals. This paper presents the operative technique. Our new endoscopic microsurgical technique obviates a thoracotomy, while direct endoscopic vision results in improved dissection. The magnified endoscopic view permits selective exposure of blood vessels and prevents injury to the adjacent organs.

Key words

Esophagus Esophagectomy Transhiatal esophagectomy Endoscopic microsurgical dissection Minimal invasive surgery 

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Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • K. Kipfmüller
    • 1
  • M. Naruhn
    • 2
  • A. Melzer
    • 2
  • S. Kessler
    • 2
  • G. Bueß
    • 2
  1. 1.Labor für Endoskopische MikrochirurgieKlinik und Poliklinik für Abdominal- und AllgemeinchirurgieMainzGermany
  2. 2.Klinik und Poliklinik für Abdominal- und AllgemeinchirurgieJohannes Gutenberg-UniversitätMainzGermany

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