Transhiatal esophagectomy (THE).
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.
Vita
Maria Letizia
ML
Dipartimento di Chirurgia Toracica, Università Cattolica del S. Cuore, Policlinico A.Gemelli, Roma, Italy. marialetiziavita@yahoo.it
Piraino
Alessio
A
Tessitore
Adele
A
Cusumano
Giacomo
G
Congedo
Maria Teresa
MT
Porziella
Venanzio
V
Cesario
Alfredo
A
Meacci
Elisa
E
Margaritora
Stefano
S
Granone
Pierluigi
P
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