Transhiatal esophagectomy after major thoracic surgery. Don’t give up too soon!

Maxwell Seaton , Kayla Widdowson , Julie Grossman , Daniel J. Gross , Alan S. Livingstone
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Abstract

Transhiatal esophagectomy (THE) involves a partially blunt dissection in the posterior mediastinum with incomplete visualization. The technical feasibility and safety of THE following thoracic surgery is unclear. We retrospectively identified cases of patients(5) who underwent transhiatal esophagectomy following major thoracic procedures. All patients had successful Transhiatal resections of esophageal cancer with minimal intraoperative complications (Table 1). THE is a feasible and safe approach, in experienced hands, for patients with previous thoracic surgeries especially in patients who are not candidates for single lung ventilation.

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大型胸腔手术后的经食管切除术。不要过早放弃
经门静脉食管切除术(THE)涉及后纵隔部分钝性剥离,视野不完全。胸腔手术后进行经食管切除术的技术可行性和安全性尚不明确。我们回顾性地发现了一些患者(5 例)在接受大型胸腔手术后接受了经食管裂孔食管切除术。所有患者都成功进行了经食管裂孔食管癌切除术,术中并发症极少(表 1)。对于既往接受过胸腔手术的患者,尤其是不适合单肺通气的患者,经验丰富的医生认为经食道食管癌切除术是一种可行且安全的方法。
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