Management of intrathoracic foregut duplication cysts has traditionally involved a thoracotomy. Recently thoracoscopic approaches have been successfully described in the management of this condition. We describe the first laparoscopic transhiatal approach to the management of an intrathoracic duplication cyst in the pediatric population.

Transthoracic esophagectomy (TTE) is believed to have advantages for mediastinal lymphadenectomy in the treatment of resectable esophageal cancer despite its association with a greater incidence of pulmonary complications and postoperative mortality. Transhiatal esophagectomy is regarded as less invasive, though insufficient in terms of lymph node dissection. With the aim of achieving lymph dis...

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...

BACKGROUND Transhiatal esophagectomy (THE) is a widely used technique for carcinoma of the esophagus and other conditions, such as benign strictures and motility disorders. OBJECTIVES The aim of our study was to quantify the incidence, predisposing factors, as well as types of arrhythmias in transhiatal esophagectomy. PATIENTS AND METHODS In this prospective study, we selected 61 patients u...

introduction: esophageal cancer is a common gastro intestinal malignancy. one of the most common techniques of surgery in esophageal cancer is transhiatal esophagectomy with esophagogastric anastomosis in the neck. this technique is accompanied by complications like chronic gastero-esophegeal reflux and late stenosis. this study was designed to compare the risk of complications after two surgic...

Background: Esophagectomy is considered to be the main treatment for esophageal malignancies. Among the different methods, transhiatal approach can cause less damage to patients and is widely used however, manipulation of esophagus result in heart rate and blood pressure variations. The aim of this study was to investigate changes in blood pressure and heart rhythm during transhiatal esophagect...

A 65-year-old man sequentially developed a chylous neck fistula, left-sided chylothorax, and chylous ascites after a transhiatal total esophagectomy for adenocarcinoma of the distal esophagus. The pathophysiology of this unusual accumulation of chyle in three separate anatomic compartments is examined.