Her treatment included concurrent rounds of chemotherapy and radiation at the UMass Memorial Cancer Center followed by a transhiatal
esophagectomy (which includes removal of much of the esophagus) at Brigham and Women's Hospital in Boston.
The surgery was conducted to remove the stuck denture through a transhiatal
abdominal approach ( removing the esophagus without opening the chest), thus avoiding a chest incision.
Twenty-five patients underwent total esophagectomy: 1 with a left-sided neck anastomosis via a left thoracoabdominal incision; 20 with a combined right thoracotomy and a laparotomy; and 4 with a transhiatal
Thus, for curative treatment, a transhiatal
oesophagectomy with primary anastomosis was performed.
A decade of experience with transthoracic and transhiatal
Transient diminished airway protection after transhiatal
Benign stricture formation at the cervical anastomosis after transhiatal
esophagectomy with gastric pull-up is a common complication that greatly affects swallowing and quality of life.
Only 2 complications were seen in the 20 patients treated with vagalsparing esophagectomy, compared with 11 complications in the 23 patients treated with en bloc esophagectomy and 13 complications in the 31 patients who had a transhiatal
esophagectomy (THE), a procedure developed at the University of Michigan, Ann Arbor.
A 55-year-old man with moderately differentiated adenocarcinoma of the esophagus underwent transhiatal
esophagectomy with gastric pull-up.
dagger]) Key to abbreviations for pathways: Effective: CEA, carotid endarterectomy; HEJ, hepatojejunostomy; MAS, mastectomy; RRP, radical retropubic prostatectomy; RTP, renal transplant; TES, transhiatal
esophagectomy; WHI, Whipple procedure (pancreaticoduodenectomy).
One of these patients underwent transhiatal
resection with primary extrathoracic anastomosis and ultimately died as a result of refractory mediastinal sepsis.
She then was readmitted electively to the hospital to undergo a transhiatal
gastric pull-up procedure via a laparotomy with a neck exploration and anastomosis to her remnant cervical esophagus.