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Mediastinoscopy-Assisted Transhiatal Esophagectomy: A Safe Technique for Squamous Cell Carcinoma of the Esophagus

  • Akira Tangoku
  • Shigefumi Yoshino
  • Toshihiro Abe
  • Katuhiko Morita
  • Takashi Ueno
  • Hideto Hayashi
  • Masaaki Oka

Abstract

Esophagectomy with lymphadenectomy has improved the survival of patients with esophageal cancer [1, 2]. The morbidity and mortality associated with transthoracic (abdominothoracic) esophagectomy (TTE) is substantial, despite improvements in perioperative support, including anesthesia and postoperative intensive care [3, 4]. To decrease the complications of TTE, transhiatal esophagectomy (THE) has been adopted [5, 6, 7, 8]. The disadvantages of THE are blind manipulation of the esophagus and the inability to perform lymph node dissection. With mediastinoscopy, THE decreased morbidity because of direct visualization of the mediastinal structures.

Keywords

Esophageal Cancer Endoscopic Mucosal Resection Bronchial Artery Recurrent Nerve Esophageal Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Japan 2002

Authors and Affiliations

  • Akira Tangoku
    • 1
  • Shigefumi Yoshino
    • 1
  • Toshihiro Abe
    • 1
  • Katuhiko Morita
    • 1
  • Takashi Ueno
    • 1
  • Hideto Hayashi
    • 1
  • Masaaki Oka
    • 1
  1. 1.Department of Digestive Surgery and Surgical OncologyYamaguchi University School of MedicineUbe, YamaguchiJapan

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