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Laparoscopic and Thoracoscopic Transhiatal Esophagectomy with Cervical Anastomosis

  • Moshim KukarEmail author
  • Steven N. Hochwald
Chapter

Abstract

In this chapter, we will outline our technique for laparoscopic and thoracoscopic transhiatal esophagectomy with cervical anastomosis. We utilize this technique routinely in patients with esophageal and Siewert’s types 1 and 2 gastroesophageal junction cancer. This technique has been shown to be safe in the setting of neoadjuvant chemoradiation since most patients in the western world present with locally advanced carcinoma and receive multimodality treatment. This technique is best reserved for those patients who have no history of previous gastric surgery such as a Nissen fundoplication. In such patients, the amount of gastric conduit available to reach the neck may be limited and an intrathoracic esophagogastric anastomosis may be preferable as described in other portions of this book.

Keywords

Recurrent Laryngeal Nerve Staple Line Gastric Conduit Left Gastric Vein Left Crus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 13.1

Minimally invasive esophagectomy with cervical anastomosis: Thoracoscopic dissection (MOV 399814 kb)

Video 13.2

Minimally invasive esophagectomy with cervical anastomosis: Cervical dissection (MOV 118635 kb)

Video 13.3

Minimally invasive esophagectomy with cervical anastomosis: Abdominal dissection (MOV 301030 kb)

Video 13.4

Minimally invasive esophagectomy with cervical anastomosis: Reconstruction (MOV 159164 kb)

References

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of Surgical OncologyRoswell Park Cancer InstituteBuffaloUSA

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