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Laparoscopic versus open transhiatal esophagectomy for distal and junction cancer. Esofagectomía laparoscópica frente a abierta en el cáncer esofágico distal. Request PDF on ResearchGate | Esofagectomía transhiatal por vía abierta y vía laparoscópica para el cáncer de esófago: análisis de los. La esofagectomía transhiatal mínimamente invasiva, en algunos enfermos con acalasia, tiene todos los beneficios del mínimo acceso, y con el empleo de un.

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Esofagectomía laparoscópica frente a abierta en el cáncer esofágico distal y de la unión

Decreasing morbidity and mortality in consecutive minimally invasive esophagectomies. Inclusion criteria were adults, years old, with advanced megaesophagus; were excluded those with recurrent megaesophagus, patients with previous laparotomy in the upper abdomen, the ones with difficult to control comorbidities, and patients with associated portal hypertension.

Extended transthoracic resection compared with limited transhiatal resection for trandhiatal of the esophagus 3. It is based on three options: The technique was the same in both groups 6 Next the stomach is mobilized including a lymphadenectomy of the celiac trunk.

We studied and demonstrated that the technique of subtotal esophagectomy, through laparoscopic and transmediastinal access, in order to prepare the stomach, to dissect the abdominal and thoracic esophagus, and to perform a left cervicotomy for esophageal removal and to proceed with an esophagogastric anastomosis is a good choice and it is a safe method for advanced megaesophagus treatment. Moreover, a significant difference was observed between the laparoscopic and open groups in the number of patients who received neoadjuvant chemotherapy 23 vs.


Laparoscopic transhiatal esophagectomy: outcomes

Computed tomography and MRI showed a distal esophageal mass of 4cm in diameter. Cruzi, esophagography, high-resolution digestive endoscopy, electromanometry, biliary ultrasound, and hour ph-metry. The stomach was pulled up to the neck by the posterior mediastinum.

Fine needle aspiration biopsy was compatible with a leiomyoma.

Thoracoscopy lasted minutes anastomosis was 50 minutes longlaparoscopy lasted minutes, and second laparoscopy lasted 20 minutes. J Am Coll Surg ; Otherwise, the gas dissipates and makes it very difficult to follow the surgical procedure. The patient was placed in a prone position during thoracoscopic dissection. Videoassisted transhiatal esophagectomy for cancer. There was no mortality, the mean surgery time was minutes toand improvement was noted in all evaluated parameters.

Surg Clin N Am. In the current study, with the exception of the first open 14 operated patients, who underwent a routine pyloroplasty procedure, the avoidance of this pyloroplasty in the following patients did not lead to any emptying problems of the gastric tube during the post-operative period The studied variables were dysphagia score before and after the operation at months ssofagectomia pain score in the immediate postoperative period and at hospital discharge; complications of esofagfctomia procedure, comparing each group.

The mean operation time was minutes. In the ETHA group, 14 patients Arq Bras Cir Dig. There was one death in each group related to gastric stasis due to the lack of pyloroplasty 23 The reasons for conversions are depicted in table II. Therefore, we do not recommend a routine pyloroplasty as part of the gastric tube formation.


Esofagectomía transhiatal por SILS (acceso único) para cáncer

The patients had an uneventful postoperative course and were discharged on postoperative day 12 and 10, respectively. Esophageal peptic stricture and shortened esophagus managed by a laparoscopic Collis-Nissen procedure. The same results are found tranhiatal Nguyen et al.

The first assistant stood on the right side of the patient and the second assistant on the left. Ann Thorac Surg ; On post-operative day 5, a swallow X-ray examination was performed to assess the anastomosis and gastric tube passage.

Thoracoscopic esophagectomy for esophageal cancer. This is the case of a year-old girl, complaining of weight loss and dysphagia.

De Paula et al. Advances in minimally invasive esophageal surgery. Esofagctomia, dissection is performed in an avascular plane in the anterior mediastinum with visualization of the pericardium and the pulmonary vein up to the lymph nodes located in the carina.

The postoperative period was uneventful. Services on Demand Journal. The males are predominant, and the mean age was Intrasphincteric injection of botulin toxin to treatment of chagasic achalasia. Minimally invasive versus open esophagectomy for cancer: Maybe in fact this procedure may be reminded and ponder in the treatment of esophageal disease. Swanstrom LL, Hansen P. Major and minor complication rates were 32 and