Eduardo Crema1, Júverson Alves Terra Júnior2, Marisa Carvalho Borges3, Carlos Alfredo Salci Queiroz4, Luciana Arantes Soares3, Alex Augusto da Silva5. 1. PhD, Full Professor, Division of Digestive Surgery, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba-MG, Brazil. Conception of the study, analysis and interpretation of data, manuscript writing, critical revision. 2. PhD, Assistant Professor, Division of Surgical Technique and Experimental Surgery, UFTM, Uberaba-MG, Brazil. Conception of the study, analysis and interpretation of data, manuscript writing, critical revision. 3. Postdoctoral Fellow, Postgraduate Program in Health Sciences, UFTM, Uberaba-MG, Brazil. Conception of the study, analysis and interpretation of data, manuscript writing, critical revision. 4. Assistant Professor, Division of Surgical Technique and Experimental Surgery, UFTM, Uberaba-MG, Brazil. Conception of the study, analysis and interpretation of data, manuscript writing, critical revision. 5. PhD, Associate Professor, Division of Digestive Surgery, UFTM, Uberaba-MG, Brazil. Conception of the study, analysis and interpretation of data, manuscript writing, critical revision.
Abstract
PURPOSE: To evaluate the outcome of transhiatal esophagectomy without thoracotomy and with preservation of the vagal trunks for the treatment of advanced megaesophagus. METHODS: Between March 2006 and September 2017, it was performed 136 transhiatal esophagectomies without thoracotomy by laparoscopy, with preservation of the vagus nerves. All patients were evaluated pre and postoperatively for respiratory and nutritional aspects Post operatively, some surgical aspects were evaluated like radiology and endoscopy of the digestive tract. RESULTS: Follow-up for 7 months to 12 years by clinical, radiologic, endoscopic and pH monitoring revealed satisfactory and encouraging outcomes of the procedure. CONCLUSION: The laparoscopic transhiatal esophagectomy is a feasible and safe technique with good postoperative outcomes.
PURPOSE: To evaluate the outcome of transhiatal esophagectomy without thoracotomy and with preservation of the vagal trunks for the treatment of advanced megaesophagus. METHODS: Between March 2006 and September 2017, it was performed 136 transhiatal esophagectomies without thoracotomy by laparoscopy, with preservation of the vagus nerves. All patients were evaluated pre and postoperatively for respiratory and nutritional aspects Post operatively, some surgical aspects were evaluated like radiology and endoscopy of the digestive tract. RESULTS: Follow-up for 7 months to 12 years by clinical, radiologic, endoscopic and pH monitoring revealed satisfactory and encouraging outcomes of the procedure. CONCLUSION: The laparoscopic transhiatal esophagectomy is a feasible and safe technique with good postoperative outcomes.
Authors: Xiankai Chen; Peng Luo; Hounai Xie; Yafan Yang; Ruixiang Zhang; Jianjun Qin; Christopher W Seder; Min P Kim; Raja Flores; Lei Xu; Yin Li Journal: Ann Transl Med Date: 2022-03