An Optimum Miniinvasive Approach in Esophageal Replacement with Stomach

Czech version

Authors: J. Dostalík; P. Guňková; L. Martínek; V. Richter; I. Guňka; M. Mazur; M. Mitták
Authors‘ workplace: Chirurgická klinika FN Ostrava, přednosta: doc. MUDr. Jan Dostalík, CSc.
Published in: Rozhl. Chir., 2009, roč. 88, č. 8, s. 422-424.
Category: Monothematic special - Original

Overview

Esophagectomy was performed by transhiatal approach from laparotomy or laparotomy combinated with thoracotomy till the beginning of 90^th of 20^th century. These procedures are associated with high morbidity (40–80%) and mortality (5–15%) rate. There is a tendency of using minimally invasive approach in esophageal surgery with preserving oncological radicality. Based on our experiences with minimally invasive esophagectomy and gastric replacement we would like to introduce a technique which is considered optimal in our department.

Key words:
miniinvasive esophagectomy – laparoscopy – thoracoscopy

Sources

1. Muller, J. M., Erasm, H., Stelzner, M., Zieren, U., Pilchmaier, H. Surgical therapy of oesophageal cancer. Br. J. Surg., 1990, 77: 845–857.

2. Cuschieri, A., Shimi, S., Banting, S. Endoscopic oesophagectomy through a right thoracoscopic approach. J. R. Coll. Surg. Edinb., 1992, 37: 7–11.

3. Shichinohe, T., Hirano, S., Kondo, S. Video-assisted esophagectomy for esophageal cancer. Surg. Today, 2008, 38: 206–213.

4. Bumm, R., Feussner, H., Bartels, H., Stein, H., Dittler, H. J., Hofler, H., Siewert, Jr. Radical transhiatal esophagectomy with two- field lymphadenectomy and endodissection for distal esophageal carcinoma. World J. Surg., 1997, 21: 822.

5. Gockel, I., Exner, C., Junginger, T. H. Morbidity and mortality after esophagectomy for esophageal carcinoma: a risk analysis. World J. Surg. Oncol., 2005, 21: 37.

6. De Paula, A. L., Hashiba, K., Ferreira, E. A. B., De Paula, R. A., Grecco, E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg. Laparosc. Endosc., 1995, 5: 1–5.

7. Luketich, J. D., Alvelo-Rivera, M., Buenaventura, P. O., Christie, N. A., McCaughan, J. S., Little, V. R., Schaeuer, P. R., Close, J. M., Fernando, H. C. Minimally invasive esophagectomy. Outcomes in 222 patients. Ann. Surg., 2003, 238(4): 486–495.

8. Nguyen, N. T., Schauer, P. S., Luketich, L. D. Combined laparoscopic and thoracoscopic approach to esophagectomy. J. Am. Coll. Surg., 1999, 188: 329–332.

9. Swanstrom, L., Hansen, P. Laparoscopic total esophagectomy. Arch. Surg., 1997, 132: 943–949.

10. Fernando, H. C., Luketich, J. D. Quality of life after esophageal surgery. Thorac. Surg. Clin., 2004, 14: 367–374.