A decade of experience with transthoracic and transhiatal esophagectomy

American Journal of Surgery
Michael BousamraMaryam Parviz

Abstract

Morbidity and mortality remain significant for transthoracic (TT) and transhiatal (TH) esophagectomy. We report a case-specific approach employing either resection to minimize perioperative morbidity and mortality. All primary esophageal resections performed for benign and malignant esophageal disease were reviewed over a 10-year period. The operative approach was tailored to the location and extent of disease and the physiologic reserve of the patient. In all, 115 patients underwent esophagectomy for benign (25) and malignant (90) disease. Fifty-six TT and 59 TH resections were performed. Four emergent TT cases did not have reconstruction. There was 1 hospital mortality. Perioperative transfusion was avoided in 65 patients. Respiratory complications occurred in 15. Three patients had a cervical anastomotic leak requiring open wound drainage. No association between resection type and complication was evident. The judicious use of both TT and TH esophagectomy resulted in an operative mortality of less than 1%, reduced operative blood loss, and a relatively low rate of perioperative complications.

References

Nov 1, 1991·The British Journal of Surgery·N GürkanO Sasmaz
Aug 1, 1990·The British Journal of Surgery·J M MüllerH Pichlmaier
Jan 1, 1990·The Annals of Thoracic Surgery·M B Orringer, M C Stirling
Nov 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·M D IannettoniM B Orringer
Sep 1, 1994·The Annals of Thoracic Surgery·G W ClarkT R DeMeester
Nov 1, 1994·Journal of Surgical Oncology·K KatariyaE J Beattie
Jan 22, 1998·The Journal of Thoracic and Cardiovascular Surgery·N K AltorkiD B Skinner
Mar 13, 1999·The Australian and New Zealand Journal of Surgery·R RindaniM R Cox
Apr 30, 1999·The Journal of Thoracic and Cardiovascular Surgery·J J NigroC G Bremner
Oct 28, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T LerutD Van Raemdonck

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Citations

Apr 8, 2009·Langenbeck's Archives of Surgery·Panagiotis YannopoulosKonstantinos Manes
Sep 4, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Donald E LowRichard A Kozarek
Nov 24, 2004·Gastrointestinal Endoscopy·Rohini VijGillian D Sanders
Jul 28, 2010·Journal of Gastroenterology and Hepatology·Abby ConlinTakuji Gotoda
Jul 28, 2004·The Annals of Thoracic Surgery·Dipin GuptaDaniel T Dempsey
Sep 27, 2005·The Annals of Thoracic Surgery·Robert J KorstNasser K Altorki

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