Open AccessEndodissection of the Thoracic Esophagus Technique and Clinical Results in Transhiatal Esophagectomy
Author(s) -
R. Bumm,
A. H. Hölscher,
H. Feußner,
Mitsuo Tachibana,
H. Bartels,
J. R. Siewert
Publication year - 1993
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-199307000-00015
Subject(s) - medicine , esophagus , surgery , esophagectomy , dissection (medical) , adenocarcinoma , esophageal cancer , cancer
Transhiatal esophagectomy (THE), mostly performed in patients with adenocarcinoma of the esophagus, bears the risk of damage to mediastinal structures because the physician's vision is poor during esophageal dissection. The authors report a new endoscopic technique, which enables microsurgical dissection of the esophagus under visual control, that can be performed simultaneously to the abdominal approach. The clinical results in unselected patients with malignant esophageal disease were compared with those of patients undergoing conventional THE.