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.

Author: Kigazilkree Fezil
Country: Monaco
Language: English (Spanish)
Genre: Environment
Published (Last): 27 February 2007
Pages: 304
PDF File Size: 5.38 Mb
ePub File Size: 7.9 Mb
ISBN: 233-9-48923-151-6
Downloads: 22378
Price: Free* [*Free Regsitration Required]
Uploader: Sabar

The comparison of the techniques in the dysphagia score shows that the severity of the dysphagia before the operation was classified as a severe score in any of the groups The patients had an uneventful postoperative course and were discharged on postoperative day 12 esofaegctomia 10, respectively. Consequently, this operating technique is well standardized for the management of this condition. Fine needle aspiration biopsy was compatible with a leiomyoma.

Esofagectomía laparoscópica frente a abierta en el cáncer esofágico distal y de la unión

Cruzi, esophagography, high-resolution digestive endoscopy, electromanometry, biliary ultrasound, and hour ph-metry. However, the acceptance of this technique by surgeons has been limited by the difficulty of visualizing the posterior mediastinum, laterally restricted work place, prolonged operative time and difficult learning curve The laparoscopic transhiatal approach used in this study showed important advantages over the open approach, including less operative blood loss, shorter ICU stay, and shorter hospital stay with the same oncological outcome.

In the s, surgical diseases were impacted by videolaparoscopic access, reducing morbidity and transhixtal early recovery. Both transthoracic and transhiatal esophagectomies are performed worldwide.

Esofagectomía transhiatal por SILS (acceso único) para cáncer

Introduction The incidence of adenocarcinoma of the esophagus and gastro-esophageal GE junction is rapidly rising 1,2. The other frequently used procedure is the transhiatal esophageal resection according to Orringer in which a thoracotomy is avoided 5.

Related Articles  KEYENCE CV-2100 P PDF

The leiomyoma was completely enucleated. Thoracoscopy in prone position allows the surgeon to perform a thoracoscopic esophagogastric anastomosis completely hand-sewn without selective lung exclusion, and using only three trocars. Achalasia and esophageal cancer: Among the concomitant diseases four in the EMIL transhiata, presented schistosomiasis mansoni, chagasic cardiopathy, megacolon esofagfctomia gastroesophageal reflux disease, trashiatal disease for each patient.

Arq Bras Cir Dig. Open-access trans-hiatal esophagectomy, as an option for the treatment of advanced megaesophagus, has been consolidated 614 O acompanhamento foi de 6 a meses. Median blood loss was less in the laparoscopic group ml, interquartile range: To our knowledge, this is the largest case-control study in literature comparing laparoscopic transhiatal esophagectomy with open transhiatal resection To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers.

Survival of both groups was compared with the log-rank test. Transhiatal esophagectomy for esophageal cancer. Resection for achalasia of esofagus.

Discussion To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers. Subtotal esophagectomy by thoracoscopy and laparoscopy. Tumor characteristics are listed in table III. Mechanical cervical esophagogastric latero-lateral anastomosis after esphagectomies. Achalasia hipomotility is the best know entity The Thal-Hatafuku operation.

No randomized trials have been performed comparing laparoscopic transhiatal esophagectomy with an open resection. Esofagectomia subtotal e esofagogastroplastia transmediastinal posterior sem toracotomia. The future of esophageal surgery. Blood loss was estimated at mL. Surg Gynecol Obstet ; Please review our privacy policy.

Minimally invasive esophagectomy fr benign disease. Carcinoma of the esophagus: Forty-four patients with advanced megaesophagus groups 3 and 4 of the classification of Rezende 24 were eligible from to The introduction of laparoscopic access into the surgical arsenal in the s was so shocking that no one was able to serenely assess how far their limits hranshiatal benefits would go Minimally invasive esophagectomy for caustic esophageal stricture — Thoracoscopy in prone position and laparoscopic gastric pull-up.


From November to June72 patients underwent laparoscopic transhiatal esophagectomy. This effect was only present for minimally invasive transthoracic esophagectomy as the case-control studies reporting on laparoscopic transhiatal esophagectomy had a small sample size. The mean operation time was minutes. In summary the patient is operated in supine position with neck extended with exposure of the right side.

Laparoscopic transhiatal esophagectomy: outcomes

Primary motility disorders of the esophagus. Anesthesiological hazards during laparoscopic transhiatal esophageal resection – A case control study of the laparoscopic-assisted vs. Patologia estrutural e funcional. How to cite this article.

Extubated patients were admitted to the medium care unit MCU and from there to the regular ward. Another variable studied in this study was the pain score, whose results were better for the laparoscopic group, but with no statistical difference. Open and laparoscopic trans-hiatal esophagectomy has been successfully performed in the treatment of megaesophagus. N Engl J Med.