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Transhiatal Esophagectomy

Jules Lin and Mark B. Orringer
Transhiatal Esophagectomy is a topic covered in the Pearson's General Thoracic.

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STS Cardiothoracic Surgery E-Book from The Society of Thoracic Surgeons provides expert guidance for Cardiac and Thoracic Surgery. Sections include Pearson’s General Thoracic, Esphageal, Adult Cardiac, and Pediatric and Congenital Cardiac Surgery. Explore these free sample topics:

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Key Points

  • A successful transhiatal esophagectomy involves an orderly series of steps: the abdominal, cervical, mediastinal, and cervical esophagogastric anastomotic phases of the operation.
  • A surgeon’s assessment of esophageal mobility on manual palpation through the diaphragmatic hiatus is the most important determinant of the appropriateness of a transhiatal esophagectomy.
  • A surgeon performing a transhiatal esophagectomy is not absolved of the responsibility of having a firm knowledge of thoracic anatomy and the complications of esophagectomy and their management.
  • A properly mobilized stomach should be as pink in the neck prior to the esophagogastric anastomosis as it was in the abdomen when the operation began.
  • A cervical esophagogastric anastomotic leak translates to a stricture in 50% of cases; a meticulous side-to-side stapled anastomosis minimizes the risk of this complication and the need for life long dilations.

-- To view the remaining sections of this topic, please or --

Key Points

  • A successful transhiatal esophagectomy involves an orderly series of steps: the abdominal, cervical, mediastinal, and cervical esophagogastric anastomotic phases of the operation.
  • A surgeon’s assessment of esophageal mobility on manual palpation through the diaphragmatic hiatus is the most important determinant of the appropriateness of a transhiatal esophagectomy.
  • A surgeon performing a transhiatal esophagectomy is not absolved of the responsibility of having a firm knowledge of thoracic anatomy and the complications of esophagectomy and their management.
  • A properly mobilized stomach should be as pink in the neck prior to the esophagogastric anastomosis as it was in the abdomen when the operation began.
  • A cervical esophagogastric anastomotic leak translates to a stricture in 50% of cases; a meticulous side-to-side stapled anastomosis minimizes the risk of this complication and the need for life long dilations.

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Last updated: January 2, 2020