[Video-assisted closed-thorax esophagectomy in cancer. A technical proposal].
Blunt transhiatal esophagectomy is largely performed in selected cases of esophageal cancer following the experience of Mark Orringer. We have recently performed five consecutive video-laparoscopy-assisted transhiatal esophagectomies in order to help the esophageal dissection and to avoid injuries to mediastinal structures. In our experience a routine use of laparoscopic assistance during transhiatal esophageal dissection improves the safety of this technique and lowers postoperative complications. The results recently reported from neoadjuvant treatments (radio-chemotherapy) emphasize the role of transhiatal esophagectomy for cancer.
Sammartino
P
P
Cattedra di Chirurgia Oncologica, Università degli Studi di Roma, La Sapienza, Roma.
Bolognese
A
A
Chirletti
P
P
Calcaterra
D
D
Carloni
A
A
Biacchi
D
D
Stipa
V
V
Stipa
V
V
D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D013997:Time Factors; D014741:Video Recording