Blunt Dissection for Thoracic Esophageal Cancer
The conventional surgical technique in treating thoracic esophageal cancer is esophagectomy using a transthoracic approach. We often use a right thoracotomy approach for transthoracic esophagectomy with posterior mediastinal lymphadenectomy. However, in patients with various complications such as cardiac, pulmonary or renal failure or with debilitated or extremely aged patients, we often conduct intrathoracic esophagectomy without thoracotomy. Although the operation has limitations in terms of curability, this method is said to be useful and safe for reducing the more serious postoperative complications. The purpose of this report is to confirm the safety and usefulness of this method based on our experience.
KeywordsEsophageal Cancer Blunt Dissection Thoracic Esophagus Cumulative Survival Rate Posterior Mediastinum
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- 4.Baker JW, Schechter GL (1986) Management of panesophageal cancer by blunt resection without thoracotomy and reconstruction with stomach Ann Surg 203: 491–499Google Scholar