Minimally invasive transhiatal esophagectomy after thoracotomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23336915.
- Also identified by DOI 10.1016/j.athoracsur.2012.07.084.
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Abstract
Patients with end-stage achalasia may not be candidates for a transhiatal minimally invasive esophageal resection because of anatomic challenges and adhesions from previous interventions, namely, thoracotomy. Given the tactile feedback provided through a GelPort laparoscopic system (Applied Medical, Rancho Margarita, CA) we proposed that a minimally invasive transhiatal esophagectomy would be feasible in this patient cohort. The procedure was successful in 4 patients; seven complications occurred in 3 of the patients. At follow-up all patients demonstrated that they were meeting their nutritional needs with an oral diet.
Medical subject headings
- Esophageal Achalasia
- Esophagectomy