• Ann. Thorac. Surg. · Feb 2013

    Case Reports

    Minimally invasive transhiatal esophagectomy after thoracotomy.

    • Yvonne M Carter, Colleen D Bond, Stanley Benjamin, and M Blair Marshall.
    • Division of Thoracic Surgery, Georgetown University Medical Center, Washington, DC 20007, USA. ymc01@gunet.georgetown.edu
    • Ann. Thorac. Surg. 2013 Feb 1; 95 (2): e41-3.

    AbstractPatients with end-stage achalasia may not be candidates for a transhiatal minimally invasive esophageal resection because of anatomic challenges and adhesions from previous interventions, namely, thoracotomy. Given the tactile feedback provided through a GelPort laparoscopic system (Applied Medical, Rancho Margarita, CA) we proposed that a minimally invasive transhiatal esophagectomy would be feasible in this patient cohort. The procedure was successful in 4 patients; seven complications occurred in 3 of the patients. At follow-up all patients demonstrated that they were meeting their nutritional needs with an oral diet.Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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