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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Minimally invasive approach to esophagectomy. Patients with previous upper abdominal surgery did not undergo a laparoscopic approach.

Esofagectomía transhiatal videoasistida en la acalasia esofágica

O acompanhamento foi de 6 a meses. The use of energy devices discouraged to prevent any delayed mucosal burn injury.

In the open group there was one case of persistent ileus and one case of abdominal infection abscess. Esofagctomia, there are no differences concerning morbidity, mortality and operation time between the laparoscopic and open groups, but significantly less blood loss, shorter ICU stay and hospital stay was found in the laparoscopic transhiatal approach. VU University Medical Center.

It should be noted that at the time it was believed that truncal vagotomy did not involve obligatory pyloroplasty, a topic still controversial and current, where the transposed stomach empties itself into normal patterns, especially if the patient esovagectomia in orthostasis.

Esofagectomía transhiatal por SILS (acceso único) para cáncer

Surgical treatment of the megaesophagus. The first female patient is the subject of this video.

The transhiatal approach had a lower morbidity than the extended lymphadenectomy. This study compares the short- and long-term results of two cohorts of 50 consecutive patients with cancer of the distal esophageal and GE junction who were approached by a minimally invasive procedure or an open procedure.


The laparoscopic transhiatal esophagectomy for benign or malignant disease is a complex operation associated with a high rate of morbidity and mortality. The mean was min for open access and for laparoscopic.

Thoracoscopic and laparoscopic esophagectomy. There was no difference between laparoscopic minimally invasive trans-hiatal transhiatall EMIL and open trans-hiatal esophagectomy ETHA in all studied variables, thus allowing to be considered equivalent. Minimally invasive esophagectomy fr benign disease. The males are predominant, and the mean age was There are no important differences between the groups in terms of the histological type of tumor, TNM stage, tumor localization and tumor differentiation.

Regarding group B, it was A meta-analysis showed that minimally invasive esophagectomy could lower morbidity and shorten hospital stay Thoracoscopic esophagectomy for esophageal cancer. The same was true for surgical time, transfusion of blood products and hospital stay. In this fashion the operation is time sparing and cost-effective.

Between January and Decemberfifty consecutive patients with a squamous cell carcinoma or an adenocarcinoma of the distal esophagus or Esofabectomia junction underwent laparoscopic transhiatal esophageal resection.

To our knowledge, this is the largest case-control study in literature comparing laparoscopic transhiatal esophagectomy with open transhiatal resection Semin Thorac and Cardiovascular Surgery. Computed tomography and MRI showed a distal esophageal mass of 4cm in diameter. Thoracoscopic lower esophageal myotomy. In this study, mortality and morbidity did not find statistically significant results that indicated an advantage over one another method.

The results were compared with an unselected historical group of fifty consecutive patients who underwent an open transhiatal esophageal resection in the VU university medical center in the pre-laparoscopic period of January through December De Paula et al. The role of multimodality therapy for ressectable esophageal cancer. Stasis appears even in those submitted to pyloroplasty, but afterwards it disappears 36. An analysis of 60 cases. Major ttranshiatal minor complication rates were 32 and Thirteen were excluded because they did not adhere to the proposed treatment.


R VaillancourtEsofagectpmia Duranceau. Management of the cervical esophagogastric anastomotic stricture.

We use cookies to offer you an optimal experience on our website. Sixty-four with malignant neoplasm of esophagus. No patient in the laparoscopic group had abdominal complication Figure 3. A laparoscopy-assisted surgical approach to esophageal carcinoma. Transthoracic versus transhiatal resection for carcinoma of the esophagus: Anteriorly, dissection is performed in an avascular plane in the anterior mediastinum with visualization of the pericardium and the pulmonary vein up to the lymph nodes located in the carina.

Among the concomitant diseases four in the EMIL group presented schistosomiasis mansoni, chagasic cardiopathy, megacolon and gastroesophageal reflux disease, one disease for each patient.

Totally thoracoscopic and laparoscopic Ivor Lewis esophagectomy in obese patients. In a prospective randomized study by Hulscher et al.

There was one death in each group related to gastric stasis due to the lack of pyloroplasty 23 Therefore, we do not recommend a routine pyloroplasty as part of the gastric tube formation.

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The median number of harvested lymph nodes was 14 interquartile range: The mean operation time was minutes. Open-access trans-hiatal esophagectomy, as an option for the treatment of advanced megaesophagus, has been consolidated 614 Tumor characteristics are listed in table III. Agarwal AK, Javed A.