Transhiatal Esophagectomy for Intrathoracic Esophageal Cancer

  • Hiroyoshi Ayabe
  • Hiroharu Tsuji
  • Shinsuke Hara
  • Yutaka Tagawa
  • Katsunobu Kawahara
  • Masao Tomita
Conference paper


Surgical treatment is the best management for the patients with dysphagia and resection should be performed unless there are any contraindications. It is generally accepted that the standard radical operation for thoracic esophageal cancer is a subtotal or total thoracic esophagectomy with intrathoracic and intra-abdominal lymph node dissection through right thoracotomy and laparotomy [1]. However, transthoracic esophagectomy has high morbidity and mortality rates [2, 3]. Therefore, for the patients with poor nutritional condition and low cardiopulmonary reserve, transhiatal esophagectomy without thoracotomy for esophageal cancer may have lower morbidity and mortality [4, 5].


Esophageal Cancer Esophageal Carcinoma Esophageal Varix Thoracic Esophagus Sick Sinus Syndrome 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kakegawa T, Yamana H, Fujita H, Maki J (1986) Radical operation for thoracic esophageal carcinoma. Excerpta Medica 40: 122–125Google Scholar
  2. 2.
    Postlewait RW (1983) Complications and deaths after operations for esophageal carcinoma. J Thorac Cardiovasc Surg 85: 827–834Google Scholar
  3. 3.
    Mattheus HR, Powell DJ, McConkey CC (1983) Effect of surgical experience on the results of resection for esophageal carcinoma. Br J Surg 73: 621–623CrossRefGoogle Scholar
  4. 4.
    Hankins JR, Miller JE, Attar S, McLaughlin JS (1987) Transhiatal esophagectomy for carcinoma of the esophagus: Experience with 26 patients. Ann Thorac Surg 44: 123–127PubMedCrossRefGoogle Scholar
  5. 5.
    Orringer MB (1988) Transhiatal esophagectomy without thoracotomy for esophageal carcinoma. In: Delarue NC, Wilkins EW, Wong L (eds) International trends in general thoracic surgery, vol 4. CV Mosby, St. Louis, pp 200–220Google Scholar
  6. 6.
    International Union Against Cancer (1987) TNM: Classification of malignant tumors, 4th edn. Springer, BerlinGoogle Scholar
  7. 7.
    Kaplan EL, Meier P (1985) Non-parametric estimation from incomplete observation. J Am Stat Assoc 53: 457–481CrossRefGoogle Scholar
  8. 8.
    Turner GG (1933) Excision of the thoracic esophagus for carcinoma with construction of an extra-thoracic gullet. Lancet 11: 1315–1316CrossRefGoogle Scholar
  9. 9.
    Ong GB, Lee TC (1960) Pharingogastric anastomosis after esophagopharyngectomy for carcinoma of the hypopharynx and cervical esophagus. Br J Surg 48: 193–196PubMedCrossRefGoogle Scholar
  10. 10.
    Terz JJ, Beatty D, Kokai WA, Wagman LD (1987) Transhiatal esophagectomy. Ann Surg 154: 42–48CrossRefGoogle Scholar
  11. 11.
    Hankins JR, Attar S, Coughlin TR, Miller JE, Hebel JR, Suter CM, McLaughlin JS (1989) Carcinoma of the esophagus: A comparison of the results of transhiatal versus transthoracic resection. Ann Thorac Surg 47: 700–705PubMedCrossRefGoogle Scholar
  12. 12.
    Orringer MB (1984) Transhiatal esophagectomy without thoracotomy for carcinoma of the esophagus. Ann Surg 200: 282–288PubMedCrossRefGoogle Scholar
  13. 13.
    Shahian DM, Neptune WB, Ellis IH Jr, Watkins F Jr (1986) Transthoracic versus extra- thoracic esophagectomy: Mortality, morbidity and long-term survival. Ann Thorac Surg 41: 237–246PubMedCrossRefGoogle Scholar
  14. 14.
    Fok JM, Siu KF, Wong J (1989) A comparison of transhiatal and transthoracic resection for carcinoma of the thoracic esophagus. Am J Surg 158: 414–419PubMedCrossRefGoogle Scholar
  15. 15.
    Garvin PJ, Kaminski DL (1980) Extrathoracic esophagectomy in the treatment of esophageal cancer. Am J Surg 140: 772–778PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Hiroyoshi Ayabe
  • Hiroharu Tsuji
  • Shinsuke Hara
  • Yutaka Tagawa
  • Katsunobu Kawahara
  • Masao Tomita
    • 1
  1. 1.First Department of SurgeryNagasaki University School of MedicineNagasaki, 852Japan

Personalised recommendations