Transhiatal esophagectomy.
Transhiatal esophagectomy (THE) with cervical esophogastric anastomosis avoids thoracotomy and the potential for sepsis from an intrathoracic anastomotic leak. Knowledge of anatomy, careful attention to details of the operation, and good judgment toward patient selection will allow THE to be a valuable tool in the surgical palliation of esophageal carcinoma.
Zwischenberger
J B
JB
Division of Cardiothoracic Surgery, University of Texas Medical Branch, Galveston, USA.
Sankar
A B
AB
D000714:Anastomosis, Surgical; D004210:Dissection; D004564:Electrocoagulation; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000601:surgery; D006801:Humans; D008482:Mediastinum / Q000601:surgery; D009333:Neck / Q000601:surgery; D010166:Palliative Care; D018579:Patient Selection; D011182:Postoperative Care; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery; D013528:Surgical Staplers; D014057:Tomography, X-Ray Computed