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.
|Published (Last):||7 April 2014|
|PDF File Size:||14.40 Mb|
|ePub File Size:||9.46 Mb|
|Price:||Free* [*Free Regsitration Required]|
Advances in minimally invasive esophageal surgery. Post-operatively, patients were ventilated mechanically at the intensive care unit ICU and extubated when haemodinamically and respiratory stable. This makes the laparoscopic transhiatal esophageal resection for tumors of the distal esophagus a feasible procedure.
Minimally invasive esophagectomy could further improve post-operative outcome. Surgical treatment of the megaesophagus. The use of energy devices discouraged to prevent any delayed mucosal burn injury.
The surgical treatment of carcinoma of the oesophagus with special reference to a new operation for growths of the middle 3rd. All had epidemiological disease history and previous contact with triatomine Triatoma infestans. Laparoscopic enucleation of a horseshoe-shaped leiomyoma of the distal esofagectojia. It acquires tubular form when it has normal emptying, and sacular proportional to the degree of stasis.
Esofagectomía transhiatal videoasistida en la acalasia esofágica
A laparoscopy-assisted surgical approach to esophageal carcinoma. R VaillancourtA Duranceau. Discussion To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers. Maybe in fact this procedure may be reminded and ponder in the treatment of esophageal disease. The procedure was performed using 5 trocars. Rev Assoc Med Brasil. 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.
However, there are no randomized studies to differentiate them in their results. Transhiatal and transthoracic esophagectomy for adenocarcinoma of the esophagus. Thoracoscopic management of chylothorax after esophagectomy. Decreasing morbidity and mortality in consecutive minimally invasive esophagectomies.
There is no consensus as to whether the efficacy of the videolaparoscopic approach in the treatment of megaesophagus exceeds open access.
The gastric tube is oversewn and attached to the nasogastric tube, replaced in the abdomen and pushed into the cervical esophagus under vision. Several minimally invasive approaches have been described to reduce operative trauma, improve dissection of the esophagus and tumor, reducing morbidity.
Laparoscopic transhiatal esophagectomy: outcomes
All had preoperative surgical risk assessment according to Yranshiatal American Society of Anesthesiologistsusing the following measurements: To date both transthoracic and transhiatal esophagectomy are performed worldwide for distal esophageal or GE junction cancers. With this modified procedure, the esophagus is resected by means of a right-sided thoracotomy combined with a laparotomy using cervical esophagogastric anastomosis 3,4.
The results observed in laparoscopic transhiatal esophagectomy were encouraging. Mann-Whitney U tests and Chi-square tests were used when appropriate. The only curative therapy remains surgery. Videoassisted transhiatal esophagectomy for cancer.
The laparoscopic transhiatal approach transyiatal been performed in more limited number of patients by different authors 13,20, Survival curves were obtained using the Kaplan-Meier method. Surgery of the upper esophageal sphincter open technique.
Rev Bras de Gastroenterologia. Sometimes small emphysema occurs in the cervical region and the veins of transhiatao region become prominent. In obese patients, although the technique is foremost challenging, the advantages of minimally invasive surgery are undeniable —better intraoperative respiratory function avoiding selective lung exclusion and less complicated postoperative course.
Esofaagectomia median operation time was longer in the laparoscopic group minutes, interquartile range: Open-access trans-hiatal esophagectomy, as an option for the treatment of advanced megaesophagus, has been consolidated 614 The results of the series presented here, concerning morbidity and mortality are consistent with the results published in the literature for both the laparoscopic and the open transhiatal approach 7,8,13, Laparoscopic transhiatal esophagectomy with esophagogastroplasty.
Esofagectomía transhiatal por SILS (acceso único) para cáncer
Blood loss was estimated at mL. No statistical differences esofagectommia mean survival and mean disease free survival were found after the cohorts were corrected for neoadjuvant therapy. The distal esophagus was circumferentially mobilized. Could you give us a brief description of laparoscopic Heller myotomy for achalasia?