Conclusion
Endoscopic resections, either laparoscopic or combined thoracoscopic and laparoscopic, are possible and seem to offer decreased patient morbidity; this is an important consideration for most patients needing an esophagectomy. Their effectiveness as a curative procedure for cancer and the degree of recovery benefit over open resection remains to be documented. These procedures represent some of the technically most challenging cases for the laparoscopic surgeon and require both advanced skills in laparoscopy as well as a thorough knowledge of esophageal surgery.
Similar content being viewed by others
References
Stewart,KC,Finley,RJ,Clifton,JC,Graham,AJ,Storseth,C,Inculet,R. Thoracoscopic versus laparoscopic modified Heller myotomy for achalasia: Efficacy and safety in 87 patients. J Am Coll Surg 1999; 189:169–170.
Hagen,JA,DeMeester,SR,Peters,JH,Chandrasomma,P,DeMeester,TR. Curative resection for esophageal adenocarcinoma: Analysis of 100 en bloc esophagectomies. Ann Surg 2001;234:520–531.
Cuschieri,A,Shimi,S,Banting,S. Endoscopic esophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb 1992;37:7–11.
Collard,J-M,Lengele,B,Otte,J-M,Kestens,P-J. En bloc and standard esophagectomies by thoracoscopy. Ann Thorac Surg 1993;56:675–679.
Jagot,P,Sauvanet,L,Berthoux,L,Belghiti,J. Laparoscopic mobilization of the stomach for oesophageal cancer. Br J Surg 1996;83:540–542.
Gerhart,CD. Hand-assisted laparoscopic transhiatal esophagectomy using the Dexterity Pneumo Sleeve. JSLS 1998; 2:295–298.
DePaula,AL,Hashiba,K,Ferreira,EAB,de Paula A,Grecco,E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endosc 1995;5:1–5.
Swanstrom,LL,Hansen,PD. Laparoscopic total esophagectomy. Arch Surg 1997;132:943–949.
Fernando,HC,Christie,NA,Luketich,JD. Thoracoscopic andlaparoscopic esophagectomy. Semin Thorac Cardiovasc Surg 2000;12:195–200.
Nguyen,NT,Folette,DM,Wolfe,BM,Schneider,PD,Roberts P,Goodnight,JE Jr. Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy. Arch Surg 2000;135:920–925.
Daly,JD,Fry,WA,Little,AG,Winchester,DP,McKee,RF,Stewart,AK, Fremgen,AM. Esophageal Cancer: Results of an American College of Surgeons patient care evaluation study. J Am Coll Surg 2000;190:562–573.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Swanstrom, L.L. Minimally invasive surgical approaches to esophageal cancer. J Gastrointest Surg 6, 522–526 (2002). https://doi.org/10.1016/S1091-255X(02)00026-4
Issue Date:
DOI: https://doi.org/10.1016/S1091-255X(02)00026-4