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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The median hospital stay was 13 days interquartile range: Consequently, this operating technique is well standardized for the management of this condition.

Tumor characteristics are listed in table III. The results of the series presented here, concerning morbidity and mortality are consistent with the results published in the literature for both the laparoscopic and the open transhiatal approach 7,8,13, The leiomyoma was completely enucleated.


The gender in group A was seven men and eight women and group B 11 men and four women. The identification and surgical management of the short esophagus are esfoagectomia as well as the technical steps required for a Collis gastroplasty.

Ann Thorac Surg ; The mean operation time esofagecromia minutes. Some series have suggested that minimally invasive laparoscopic esophagectomy is superior when compared to open access for trans-hiatal esophagectomy. Rev Col Bras Cir. J Am Coll Surg ; Pyloric drainage Pyloroplasty or no drainage in gastric reconstruction after esophagectomy a meta-analysis of randomized controlled trials.

In this study, mortality and morbidity did not find statistically significant results that indicated an advantage over one another method. Technically it is worth mentioning that in the case of videolaparoscopy cervical access can only tfanshiatal performed when the operation has advanced greatly in the mediastinum.


Results Between January and December esofafectomia, fifty consecutive patients with a squamous cell carcinoma or an adenocarcinoma of the distal esophagus or GE junction underwent laparoscopic transhiatal esophageal resection.

Randomized trial comparing side-to-side stapled and hand-sewn esophagogastric anastomosis in neck.

Management of the cervical esophagogastric anastomotic stricture. Minimally invasive esophagectomy – outcomes in patients. The stomach was pulled up to the neck by the posterior mediastinum.

Esofagectomía transhiatal por SILS (acceso único) para cáncer

No randomized trials have been performed comparing laparoscopic transhiatal esophagectomy with an open resection. To our knowledge, this is the largest comparative study in literature comparing laparoscopic transhiatal with open transhiatal esophagectomy for cancers of distal and GE junction.

Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Perhaps it could be explained by the pressure of the gas, which, while facilitating dissection, invades the structures transhiatql frequently. R VaillancourtA Duranceau. Patients were discharged when they were completely mobile and able to feed themselves orally. Total 3-stage esophagectomy for cancer of the esophagus.

By browsing our website, you accept the use of cookies. Laparoscopic enucleation of a horseshoe-shaped leiomyoma of the distal esophagus. Surgical treatment of advanced megaesophagus is controversial Laparoscopic transhiatal resection for malignancies of the distal esophagus: Click here to access your account, or here to register for free! The same occurred in the morbidity, regarding the complications by regions and it was observed that in laparoscopy there are more sequelae of pneumothorax, but without statistical difference.

The gastric tube is oversewn and attached to the nasogastric tube, replaced in the abdomen and pushed into the cervical esophagus under vision.

Laparoscopic transhiatwl subtotal esophagectomy for the treatment of advanced megaesophagus. Optimal management of chylothorax can decrease mortality. There are no randomized studies demonstrating superiority over one another Articles from Arquivos Brasileiros de Cirurgia Digestiva: A hand sewn end-to-side cervical anastomosis is then performed.


No statistical differences in mean survival and mean disease free survival were found after the cohorts were corrected for neoadjuvant therapy. Thoracoscopy in esophagectomy for esophageal cancer. Discussion To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers.

J Am Coll Surg. They demonstrated that this is a practical and safe technique with excellent postoperative results.

Esofagectomía transhiatal videoasistida en la acalasia esofágica

Even if a trend was observed with an advantage for tganshiatal transthoracic approach in tumors located in the mid-esophagus, the median survival, disease-free, and quality-adjusted survival for the most common lower esophageal cancers were not statistically esofagectomla 8.

Thoracoscopic esophagectomy for esophageal cancer. Open in a separate window. Moreover, a significant difference was observed between the laparoscopic and open groups in the number of patients who received neoadjuvant chemotherapy 23 vs.

From January through Decemberfifty consecutive patients who underwent laparoscopically assisted transhiatal esophageal resection in esodagectomia VU university medical center were prospectively followed. Abdominocervical transhiatal oesophagectomy in the management of oesophageal carcinoma. Suas desvantagens incluem custo elevado e longa curva de aprendizado 6, 9, 11, 14, 22, Resection for achalasia of esofagus. The operation was trans-hiatal esophagectomy with truncal vagotomy without pyloroplasty and with manual endolateral esophagogastric anastomosis.

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