HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Mark B. Orringer Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Orringer, M. B. Search for Related Content PubMed PubMed Citation Articles by Orringer, M. B.

Ann Thorac Surg 1984;38:128-132
© 1984 The Society of Thoracic Surgeons

---

Articles

Technical Aids in Performing Transhiatal Esophagectomy without Thoracotomy

Section of Thoracic Surgery, University of Michigan Hospitals, Ann Arbor, MI

Accepted for publication February 20, 1984.

^* Address reprint requests to Dr. Orringer, The University of Michigan Hospitals, Section of Thoracic Surgery, C7079, OPB, Box 32, Ann Arbor, MI 48109

Transhiatal esophagectomy without thoracotomy has been utilized in 200 patients: 57 with benign disease and 143 with carcinomas at various levels of the esophagus (35 pharyngeal or cervicothoracic, 7 upper third, 47 middle third, and 54 distal third). Stomach has been used to replace the esophagus in 93% of patients undergoing single-stage esophagectomy and reconstruction, and colon has been used in 7%. Among patients with intrathoracic esophageal carcinomas, intraoperative blood loss averaged 1,000 ml, and the hospital mortality was 6%. No patient in the entire series has required a thoracotomy for control of bleeding, either during the esophagectomy or postoperatively. This report reviews the technical maneuvers that my colleagues and I have found useful in performing transhiatal esophagectomy without thoracotomy.

This article has been cited by other articles:

				J. Rentz, D. Bull, D. Harpole, S. Bailey, L. Neumayer, T. Pappas, B. Krasnicka, W. Henderson, J. Daley, and S. Khuri Transthoracic versus transhiatal esophagectomy: A prospective study of 945 patients J. Thorac. Cardiovasc. Surg., May 1, 2003; 125(5): 1114 - 1120. [Abstract] [Full Text] [PDF]

				J.-P. Triboulet, C. Mariette, D. Chevalier, and H. Amrouni Surgical Management of Carcinoma of the Hypopharynx and Cervical Esophagus: Analysis of 209 Cases Arch Surg, October 1, 2001; 136(10): 1164 - 1170. [Abstract] [Full Text] [PDF]

				C. D. Stone and R. F. Heitmiller Simplified, standardized technique for cervical esophagogastric anastomosis Ann. Thorac. Surg., July 1, 1994; 58(1): 259 - 261. [Abstract] [PDF]

				C. E. Cahow and C. T. Sasaki Gastric Pull-up Reconstruction for Pharyngo-laryngo-esophagectomy Arch Surg, April 1, 1994; 129(4): 425 - 430. [Abstract] [PDF]

				W. T. Vigneswaran, V. F. Trastek, P. C. Pairolero, C. Deschamps, R. C. Daly, and M. S. Allen Transhiatal esophagectomy for carcinoma of the esophagus Ann. Thorac. Surg., October 1, 1993; 56(4): 838 - 846. [Abstract] [PDF]

				M. B. Orringer Anterior mediastinal tracheostomy with and without cervical exenteration Ann. Thorac. Surg., October 1, 1992; 54(4): 628 - 637. [Abstract] [PDF]

				D. M. Shahian, W. B. Neptune, F. H. Ellis Jr., and E. Watkins Jr. Transthoracic versus Extrathoracic Esophagectomy: Mortality, Morbidity, and Long-term Survival Ann. Thorac. Surg., March 1, 1986; 41(3): 237 - 246. [Abstract] [PDF]