Laparoscopic and Thoracoscopic Transhiatal Esophagectomy with Cervical Anastomosis
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.
KeywordsRecurrent Laryngeal Nerve Staple Line Gastric Conduit Left Gastric Vein Left Crus
Minimally invasive esophagectomy with cervical anastomosis: Thoracoscopic dissection (MOV 399814 kb)
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- 4.Kukar M, Hochwald SN. Operative and multimodal aspects of esophago-gastric junction (EGJ) cancer care: western viewpoints. Textbook of complex general surgical oncology (in press).Google Scholar