title: Transhiatal esophagectomy (THE).
abstract: In Transhiatal Esophagectomy(THE) two approaches can be used by the surgeon: abdominal and cervical, without thoracotomy. A pioneer of this technique was Orringer, with the largest experience world-wide (1085 patients). THE is associated with a lower morbidity compared with the transthoracic approach, but much controversy exists on whether THE is a suitable operation for cancer, because it is not combined with en-bloc lymphadenectomy. However, overall, there are no statistical differences between the two. Frequently esophageal carcinoma is a systemic disease and thus, the biological behavior and the stage of tumor rather than the technique, play a major role.
authors.affiliation: Dipartimento di Chirurgia Toracica, Università Cattolica del S. Cuore, Policlinico A.Gemelli, Roma, Italy. marialetiziavita@yahoo.it
authors.forename: Maria Letizia
authors.initials: ML
authors.lastname: Vita
authors.forename: Alessio
authors.initials: A
authors.lastname: Piraino
authors.forename: Adele
authors.initials: A
authors.lastname: Tessitore
authors.forename: Giacomo
authors.initials: G
authors.lastname: Cusumano
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Congedo
authors.forename: Venanzio
authors.initials: V
authors.lastname: Porziella
authors.forename: Alfredo
authors.initials: A
authors.lastname: Cesario
authors.forename: Elisa
authors.initials: E
authors.lastname: Meacci
authors.forename: Stefano
authors.initials: S
authors.lastname: Margaritora
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Granone
mesh_terms: D000714:Anastomosis, Surgical; D004935:Esophageal Diseases / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D019060:Minimally Invasive Surgical Procedures; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care