Pull-Through Esophagectomy Without Thoracotomy |
| |
Authors: | KATO HOICHI; IIZUKA TOSHIFUMI; WATANABE HIROSHI; HIRATA KATSUJI; ONO ISAMU; EBIHARA SATOSHI; TERUI SHOJI; SAITO HIROO; HIRASHIMA TOSHIO |
| |
Institution: | National Cancer Center Hospital Tokyo
*Department of Surgery, Head and Neck Tokyo
**Internal Medicine Tokyo |
| |
Abstract: | Twenty patients with carcinoma of the hypopharynx, esophagusand thyroid underwent pull-through esophagectomy. Seventeenof them received combined resection of the larynx and trachea.Dissection of the lymph nodes at the upper mediastinum was performedin 11 patients by sternotomy. Seven patients received mediastinaltracheostomy after combined resection of the trachea and thelarynx. Pull-through esophagectomy was followed by pharyngogastrostomywithout thoracotomy via the posterior mediastinum. This techniqueis described in detail. Because there is no thoracotomy andligation of the esophageal vessels is ensured, no pulmonarycomplications and no massive mediastinal hemorrhages occurred.There were no operative deaths. This operation offers excellentpalliation and little morbidity. Moreover, the use of sternotomyand mediastinal tracheostomy for pull-through esophagectomymade it possible to dissect the upper mediastinal lymph nodes,and we could resect the affected trachea with certainty. |
| |
Keywords: | |
本文献已被 Oxford 等数据库收录! |
|