Transhiatal Esophagectomy for Distal and Cardia Cancers: Implications of a Positive Gastric Margin
نویسندگان
چکیده
منابع مشابه
Transhiatal esophagectomy for distal and cardia cancers: implications of a positive gastric margin.
BACKGROUND A common operation for cancer of the esophagus and cardia consists of transhiatal esophagectomy, proximal gastrectomy, and a cervical esophagogastric anastomosis. The oncologic adequacy of dividing the stomach 4 to 6 cm distal to palpable tumor is not well documented, and when a positive gastric margin is present on the final pathologic analysis, the appropriate management is not est...
متن کاملLaparoscopic versus open transhiatal esophagectomy for distal and junction cancer.
BACKGROUND the only curative treatment for esophageal cancer is surgical resection. This treatment is associated with a high morbidity rate and long in-hospital recovery period. Both transthoracic and transhiatal esophagectomies are performed worldwide. The transhiatal approach may reduce the respiratory infection rate in compromised patients with distal esophageal and gastro-esophageal (GE) ca...
متن کاملUsefulness of Pyloromyotomy With Transhiatal Esophagectomy in Improving Gastric Emptying
INTRODUCTION Pyloromyotomy is a pyloric drainage procedure routinely done during transhiatal esophagectomy (THE) to prevent delayed gastric emptying (GE) resulting from truncal vagotomy. However, controversy still surrounds the need for pyloric drainage following esophageal substitution with gastric conduit after esophagectomy. The aim of this study was to determine the usefulness of pyloromyot...
متن کاملTranshiatal esophagectomy in the profoundly obese: implications and experience.
BACKGROUND Historically, obesity contraindicated an abdominal approach to the esophagogastric junction. The technique of transhiatal esophagectomy (THE) evolved without specific regard to body habitus. The dramatic increase in obese patients requiring an esophagectomy for complications of reflux disease prompted this evaluation of the impact of obesity on the outcomes of esophagectomy to determ...
متن کاملtranshiatal esophagectomy without mediastinal manipulation for lower third esophageal and cardial cancers: the first experience of a new technique
1. department of surgery, isfahan university of medical science (iums), isfahan, iran corresponding author: seyed abbas tabatabaei, md. email: [email protected] received: 14 nov. 2014 accepted: 07 feb. 2015 iran j cancer prev. 2015; 2:89-93. abstract background: considering the poor survival rate of patients with esophageal cancers, mai...
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ژورنال
عنوان ژورنال: The Annals of Thoracic Surgery
سال: 2007
ISSN: 0003-4975
DOI: 10.1016/j.athoracsur.2006.09.025