Esophagus

  • Lee J. Skandalakis
  • John E. Skandalakis
Chapter

Abstract

Successful esophageal surgery requires knowledge of the anatomy of the esophagus and mediastinum. The esophageal wall has two anatomically weak areas. Step-by-step technique for repair of pharyngoesophageal diverticulum, achalasia, and cardiospasm is detailed, along with transhiatal esophagectomy [including preparation of the gastric conduit (neoesophagus) and anastomosis].

Depending on presentation, surgical resection for carcinoma of the esophagus can be performed by Ivor Lewis, Ivor Lewis-McKeown (three-stage), or left thoracoabdominal esophagectomy. The colon may be harvested and used as an esophageal substitute in situations where the stomach is not usable.

Keywords

Perforation Boulder Pneumothorax Achalasia Mediastinitis 

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Lee J. Skandalakis
    • 1
  • John E. Skandalakis
    • 1
  1. 1.Centers for Surgical Anatomy and TechniqueEmory University School of Medicine Piedmont HospitalAtlantaUSA

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