Transhiatal Esophagectomy

  • Francisco Schlottmann
  • Marco G. PattiEmail author


Transhiatal esophagectomy with a cervical anastomosis is an established procedure for the treatment of esophageal cancer. It is important to select the proper patients for this procedure, mostly avoiding those with severe mediastinal adhesions secondary to prior operations or radiotherapy, or those with T4 tumors. Cancer of the distal esophagus and esophago-gastric junction are well suited for this procedure, as most of the dissection of the area involved by the cancer can be done under direct vision.


Esophageal cancer Esophageal resection Transhiatal esophagectomy Pyloroplasty Feeding jejunostomy Cervical anastomosis 

Suggested Readings

  1. 1.
    Orringer MB, Sloan H. Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg. 1978;76:643–54.PubMedGoogle Scholar
  2. 2.
    Hulscher JB, Tijssen JG, Obertop H, van Lanschot JJ. Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis. Ann Thorac Surg. 2001;72:306–13.CrossRefPubMedGoogle Scholar
  3. 3.
    Orringer MB, Marshall B, Chang AC, Lee J, Pickens A, Lau CL. Two thousand transhiatal esophagectomies: changing trends, lessons learned. Ann Surg. 2007;246:363–72.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Chang AC, Ji H, Birkmeyer NJ, Orringer MB, Birkmeyer JD. Outcomes after transhiatal and transthoracic esophagectomy for cancer. Ann Thorac Surg. 2008;85:424–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Connors RC, Reuben BC, Neumayer LA, Bull DA. Comparing outcomes after transthoracic and transhiatal esophagectomy: a 5-year prospective cohort of 17,395 patients. J Am Coll Surg. 2007;205:735–40.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryHospital Alemán of Buenos Aires, University of Buenos AiresBuenos AiresArgentina
  2. 2.Department of MedicineUniversity of North CarolinaChapel HillUSA
  3. 3.Department of SurgeryUniversity of North CarolinaChapel HillUSA

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