Surgical Endoscopy

, Volume 6, Issue 2, pp 59–61 | Cite as

Thoracoscopic dissection of the esophagus: an experimental study

  • D. Gossot
  • M. D. Ghnassia
  • H. Debiolles
  • Y. Chourrout
  • J. M. Bonnichon
  • E. Sarfati
  • M. Celerier
  • Y. Revillon
Original Articles

Summary

In order to reduce the respiratory morbidity of thoracotomy in esophageal surgery, several methods have been used, such as blunt dissection and endoscopic dissection through mediastinoscopy. It seems that the latter reduces drastically the morbidity but does not allow full visualization of the esophageal wall, a disadvantage in some circumstances. We describe a thoracoscopic dissection of the esophagus which gives a large and magnified view of the pleural cavity, of the mediastinum, and of the esophagus.

Key words

Esophagus Esophagectomy Vagotomy Esophageal myotomy Thoracoscopy 

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References

  1. 1.
    Byrne J, Walsh TN, Hederman WP (1990) Endoscopic transthoracic electrocautery of the sympathic chain for palmar and axillary hyperhidrosis. Br J Surg 77: 1046–1049Google Scholar
  2. 2.
    Isono K, Onoda S, Ishikawa T, Sato H, Nakayama K (1982) Studies of the causes of death from esophageal carcinoma. Cancer 49: 2173–2179Google Scholar
  3. 3.
    Kipfmüller K, Naruhn M, Melzer A, Kessler S, Buess G (1989) Endoscopic microsurgical dissection of the esophagus. Results in an animal model. Surg Endosc 3: 63–69Google Scholar
  4. 4.
    Kipfmüller K, Duda D, Kessler S, Melezer A, Buess G (1990) Die endoskopish-mikrochirurgishe dissektion der Speiseröhre: ein Beitrag zur Reduzierung pulmonaler Komplikationen nach Oesophaguresktion? Eine Vergleichende tierexperimentelle Studie. Langenbecks Arch Chir 375: 11–18Google Scholar
  5. 5.
    Leahy PF, Pennino RP, Hinshaw Jr, O'Connor TP, Lanzafame RF (1990) Minimally invasive esophagogastrectomy: an approach to esophagogastrectomy through the left thorax. J Laparoendosc Surg 1: 59–62Google Scholar
  6. 6.
    Levi JF, Kleinmann P, Riquet M, Debesse B (1990) Percutaneous parietal pleurectomy for recurrent spontaneous pneumothorax. Lancet 336: 1577–1578Google Scholar
  7. 7.
    Liebermann-Meffert DAI, Luescher URS, Neff URS, Ruedi TP, Allgoxer M (1987) Esophagectomy without thoracotomy: is there a risk of intramediastinal bleeding? Ann Surg 206: 184–192.Google Scholar
  8. 8.
    Oakes DD, Sherk JP, Brodsky JB, Mark JBD (1984) Therapeutic thoracoscopy. J Thorac Cardiovasc Surg 87: 269–273Google Scholar
  9. 9.
    Orringer MB, Orringer JS (1983) Esophagectomy without thoracotomy: a dangerous operation? J Thorac Cardiovasc Surg 85: 72–80Google Scholar
  10. 10.
    Orringer MB, Sloan H (1978) Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg 76: 643–654Google Scholar
  11. 11.
    Perrachia A, Bardini R (1986) Total esophagectomy without thoracotomy: results of a European questionnaire (GEEMO). Int Surg 71: 171–175Google Scholar
  12. 12.
    Sang CTM, Brainbridge MV (1981) Thoracoscopy simplified using the laparoscope. Thorac Cardiovasc Surgeon 29: 129–130Google Scholar
  13. 13.
    Shahian DM, Neptune WB, Ellis FH, Watkins E (1986) Transthoracic versus extrathoracic esophagectomy: mortality, morbidity and long-term survival. Ann Thorac Surg 41: 237–246Google Scholar
  14. 14.
    Watt I, Stewart I, Anderson D, Bell G, Anderson Jr (1989) Laparoscopy, ultrasound and computed tomography in cancer of the esophagus and gastric cardia: a prospective comparison for detecting intra-abdominal metastases. Br J Surg 76: 1036–1039Google Scholar
  15. 15.
    Wakabayashi A, Brenner M, Wilson AF, Tadir Y, Berns M (1990) Thoracoscopic treatment of spontaneaous pneumothorax using carbon dioxide laser. Ann Thorac Surg 50: 786–790Google Scholar
  16. 16.
    Wihlm JM (1990) La place de la pleuroscopie dans le bilan preopératoire des cancers bronchiques. Ann Chir 44: 139–142Google Scholar

Copyright information

© Springer-Verlag New York Inc 1992

Authors and Affiliations

  • D. Gossot
    • 1
  • M. D. Ghnassia
    • 2
  • H. Debiolles
    • 1
  • Y. Chourrout
    • 2
  • J. M. Bonnichon
    • 1
  • E. Sarfati
    • 1
  • M. Celerier
    • 1
  • Y. Revillon
    • 2
  1. 1.Service de Chirurgie Digestive et ThoraciqueHôpital Saint-LouisParisFrance
  2. 2.Laboratoire de Chirurgie ExperimentaleHôpital NeckerParisFrance

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