Abstract
The route for oesophageal replacement continues to be a matter of debate and plays a significant role in the outcome of the surgical procedure. The choice of the route depends upon the surgeon’s preference, availability of the route, primary disease process and the nature of the conduit. Several studies have been performed to establish the safest and the easiest route with minimum complications, but there is no ideal route and choice is individualised and customised as per patient needs. The various routes used for transposition are subcutaneous/ante-sternal route, retrosternal/substernal route, intra-pleural route/retro-hilar and through the posterior mediastinal/trans-hiatal route. In this chapter, we have attempted to clearly define the anatomy of each route along with the inherent advantages and disadvantages. Retro-hilar and the subcutaneous routes are of historical importance; hence, we have focussed more on the retrosternal and trans-hiatal routes.
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I am thankful to Dr. Shubhalaxmi Nayak for her exceptional support. My special thanks to Dr Praveen AJ for providing the digital art forms.
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Bawa, M. (2021). Routes for Oesophageal Replacement. In: Pimpalwar, A. (eds) Esophageal Preservation and Replacement in Children. Springer, Cham. https://doi.org/10.1007/978-3-030-77098-3_9
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