Laparoscopic Transhiatal Esophagectomy for Distal Esophageal Cancer

BeheshtyRouy, Samad; Kakaei, Farzad
December 2013
Medical Journal of Tabriz University of Medical Sciences & Healt;Dec2013/Jan2014, Vol. 35 Issue 5, p16
Academic Journal
Backgrounds and Objectives: Laparoscopic Esophagectomy, as a well established method, has been performed since 2000. Minimally invasive esophagectomy could be done in two methods: the Laparoscopic Transhiatal Esophagectomy (LTS) with cervical incision or the laparoscopic gastric release with thoracoscopic esophageal release. Material and Methods: From July 2011 to September 2012, we started to implement the distal esophageal cancer surgery with LTS method in those who had no metastasis or adhesion bound with no contraindications for surgery, and then we analyze the collected data. Results: 7 men and 4 women were operated. The mean age of study was 65.7±9.1 years. The mean of operative time was 40±154 minutes. The mean postoperative intensive care unit stay and total hospital stay were 2.72±1.95 days and 10.55± 4.80 days, respectively. The cervical anastomosis (n=1) and post-operative pneumonia was the complication of this study; both of them managed medically. Oral feeding was started on third postoperative day in all of our cases. No mortality was observed. Conclusion: Short-term results of our first series of LTS were comparable with previous reports.


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