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Thoracoscopic resection for esophageal cancer: A review of literature.

Scheepers JJ, van der Peet DL, Veenhof AA, Cuesta MA - J Minim Access Surg (2007)

Bottom Line: Esophageal resection remains the only curative option in high grade dysplasia of the Barrett esophagus and non metastasized esophageal cancer.In addition, it may also be an adequate treatment in selected cases of benign disease.A wide variety of minimally invasive procedures have become available in esophageal surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Vrije Universiteit Medical Centre (VUMC), Amsterdam, Netherlands.

ABSTRACT
Esophageal resection remains the only curative option in high grade dysplasia of the Barrett esophagus and non metastasized esophageal cancer. In addition, it may also be an adequate treatment in selected cases of benign disease. A wide variety of minimally invasive procedures have become available in esophageal surgery. Aim of the present review article is to evaluate minimally invasive procedures for esophageal resection, especially the approach performed through right thoracoscopy.

No MeSH data available.


Related in: MedlinePlus

After attachment of the gastric tube to the specimen, both are retrieved through the cervical incision and the gastric tube is anastomised to the cervical esophagus
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Related In: Results  -  Collection

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Figure 0006: After attachment of the gastric tube to the specimen, both are retrieved through the cervical incision and the gastric tube is anastomised to the cervical esophagus

Mentions: Once the lesser and greater curvature is dissected up to the hiatus, the stomach is tilted and the left gastric vessels are dissected free and divided by means of Ligasure® device or endostaplers after a lymphadenectomy of the celiac trunk is performed. From there, the rest of the stomach is dissected free up to the hiatus. Controversy exists regarding the pyloroplasty or pyloromyotomy for drainage of the pylorus after creation of a gastric conduit. Our group does not consider the pyloroplasty in any case whereas Luketich et al., does perform it always. A gastric tube of 4 cm is created by means of endostapler 4.8 mm device from the lesser curvature to the fundus of the stomach. Both the proximal part (esophagus and fundus) are fixed by a couple of stitches to the tip of the gastric tube and carefully mobilized with the specimen from the cervical incision (that had been dissected already by a second team [Figure 5, A and B]. After exteriorization of the gastric tube at the cervical wound, it is anastomosed with the proximal esophagus. A jejunostomy feeding catheter is placed laparoscopically and operation finished after closure of the cervical wound, which is drained.


Thoracoscopic resection for esophageal cancer: A review of literature.

Scheepers JJ, van der Peet DL, Veenhof AA, Cuesta MA - J Minim Access Surg (2007)

After attachment of the gastric tube to the specimen, both are retrieved through the cervical incision and the gastric tube is anastomised to the cervical esophagus
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2749198&req=5

Figure 0006: After attachment of the gastric tube to the specimen, both are retrieved through the cervical incision and the gastric tube is anastomised to the cervical esophagus
Mentions: Once the lesser and greater curvature is dissected up to the hiatus, the stomach is tilted and the left gastric vessels are dissected free and divided by means of Ligasure® device or endostaplers after a lymphadenectomy of the celiac trunk is performed. From there, the rest of the stomach is dissected free up to the hiatus. Controversy exists regarding the pyloroplasty or pyloromyotomy for drainage of the pylorus after creation of a gastric conduit. Our group does not consider the pyloroplasty in any case whereas Luketich et al., does perform it always. A gastric tube of 4 cm is created by means of endostapler 4.8 mm device from the lesser curvature to the fundus of the stomach. Both the proximal part (esophagus and fundus) are fixed by a couple of stitches to the tip of the gastric tube and carefully mobilized with the specimen from the cervical incision (that had been dissected already by a second team [Figure 5, A and B]. After exteriorization of the gastric tube at the cervical wound, it is anastomosed with the proximal esophagus. A jejunostomy feeding catheter is placed laparoscopically and operation finished after closure of the cervical wound, which is drained.

Bottom Line: Esophageal resection remains the only curative option in high grade dysplasia of the Barrett esophagus and non metastasized esophageal cancer.In addition, it may also be an adequate treatment in selected cases of benign disease.A wide variety of minimally invasive procedures have become available in esophageal surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Vrije Universiteit Medical Centre (VUMC), Amsterdam, Netherlands.

ABSTRACT
Esophageal resection remains the only curative option in high grade dysplasia of the Barrett esophagus and non metastasized esophageal cancer. In addition, it may also be an adequate treatment in selected cases of benign disease. A wide variety of minimally invasive procedures have become available in esophageal surgery. Aim of the present review article is to evaluate minimally invasive procedures for esophageal resection, especially the approach performed through right thoracoscopy.

No MeSH data available.


Related in: MedlinePlus