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

This Article 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 Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Collard, J. M. Articles by Kestens, P. J. Search for Related Content PubMed PubMed Citation Articles by Collard, J. M. Articles by Kestens, P. J.

The Annals of Thoracic Surgery, Vol 56, 675-679, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

En bloc and standard esophagectomies by thoracoscopy

JM Collard, B Lengele, JB Otte and PJ Kestens
Department of Surgery, Louvain Medical School, Brussels, Belgium.

Subtotal esophagectomy was attempted by right thoracoscopy on 13 patients, 10 having cancer and 3 long caustic stenosis. Thoracoscopy was converted into thoracotomy in 2 patients, owing to loss of selectivity in one-lung ventilation in 1 and injury to a right intercostal artery flush to the aorta in the other. One patient with cancer underwent an esophageal bypass operation only, owing to tumor invasion into the lung at exploratory thoracoscopy. The ten esophagectomies that could be performed in totality by thoracoscopy consisted of seven en bloc resections of the esophagus with extensive lymph node clearance in the posterior mediastinum, and three standard resections without any lymph node dissection. Postoperative complications included one death due to hepatic failure, two cases of acute pneumonitis, and one persistent chest wall discomfort at the trocar sites. Up to 51 lymph nodes were found in the resected specimens of the cancer patients. Six of the 7 cancer patients who were discharged from the hospital after esophagectomy completed by thoracoscopy were alive at 2 to 20 months of follow-up. Five of them were disease free. The study shows that esophageal resections as extensive as those carried out by thoracotomy can be performed by thoracoscopy. It suggests that prompt management of untoward injury to any mediastinal structure adjacent to the esophagus is less easy by thoracoscopy than by thoracotomy, and that classic complications of open thoracic surgery may occur after thoracoscopy as well.

This article has been cited by other articles:

				C. Bizekis, M. S. Kent, J. D. Luketich, P. O. Buenaventura, R. J. Landreneau, M. J. Schuchert, and M. Alvelo-Rivera Initial Experience With Minimally Invasive Ivor Lewis Esophagectomy Ann. Thorac. Surg., August 1, 2006; 82(2): 402 - 407. [Abstract] [Full Text] [PDF]

				S. Yamamoto, K. Kawahara, T. Maekawa, T. Shiraishi, and T. Shirakusa Minimally Invasive Esophagectomy for Stage I and II Esophageal Cancer Ann. Thorac. Surg., December 1, 2005; 80(6): 2070 - 2075. [Abstract] [Full Text] [PDF]

				M. A. Cuesta, W. T. van den Broek, D. L. van der Peet, and S. Meijer Minimally Invasive Esophageal Resection Surgical Innovation, September 1, 2004; 11(3): 147 - 160. [Abstract] [PDF]

				K. Parekh, V. Rusch, M. Bains, R. Downey, and R. Ginsberg VATS Port Site Recurrence: A Technique Dependent Problem Ann. Surg. Oncol., March 1, 2001; 8(2): 175 - 178. [Abstract] [Full Text] [PDF]

				S. Y.K. Law, M. Fok, W. I. Wei, L. K. Lam, P. H.M. Tung, K.-M. Chu, and J. Wong Thoracoscopic esophageal mobilization for pharyngolaryngoesophagectomy Ann. Thorac. Surg., August 1, 2000; 70(2): 418 - 422. [Abstract] [Full Text] [PDF]

				T. Akaishi, I. Kaneda, N. Higuchi, Y. Kuriya, J.-i. Kuramoto, T. Toyoda, and A. Wakabayashi THORACOSCOPIC EN BLOC TOTAL ESOPHAGECTOMY WITH RADICAL MEDIASTINAL LYMPHADENECTOMY J. Thorac. Cardiovasc. Surg., December 1, 1996; 112(6): 1533 - 1541. [Abstract] [Full Text]

				En Bloc and Standard Esophagectomies by Thoracoscopy Ann. Thorac. Surg., February 1, 1996; 61(2): 769 - 770. [Full Text]

				J.-M. Collard, N. Tinton, J. Malaise, R. Romagnoli, J.-B. Otte, and P.-J. Kestens Esophageal Replacement: Gastric Tube or Whole Stomach? Ann. Thorac. Surg., August 1, 1995; 60(2): 261 - 266. [Abstract] [Full Text]