A 55-year-old woman sequentially developed a high-output thoracic chylous fistula after a transhiatal
total esophagectomy for adenocarcinoma of the distal esophagus.
After preoperative intensive care unit (ICU) evaluation and preparation, transhiatal
esophagectomy (THE) and cervical esophagostomy were performed with pyloromyotomy and feeding jejunostomy.
An esophagectomy can be done via a transthoracic or transhiatal
route based on the experience and preference of the surgeon.
Total esophagectomy is performed through a transhiatal
This study was designed to investigate the causes of leak after transhiatal
subtotal esophagectomy with esophagogastric reconstruction.
Objective: To determine the benefit of feeding jejunostomy in patients undergoing transhiatal
esophagectomy in terms of complications.
The general intention of surgeons is to perform a standard transhiatal
or transthoracic esophagectomy with colonic interposition or gastric pull-up procedure for benign end-stage and premalignant or in situ malignant lesions of the esophagus.
esophagectomy for treatment of benign and malignant esophageal disease," World Journal of Surgery, vol.
Furthermore, hiatal widening can also result from the stretching of the crus muscles following transhiatal
manoeuvres during both open and laparoscopic approach.
Out of 4 patients selected for oesophagoplasty, 3 were operated by retrosternal route and 1 through transhiatal
route (Table 12).
Based on what is believed to be the largest study of its kind, Allina Health researchers say robotic assisted transhiatal
esophagectomy (RATE) is effective and safe for a carefully selected group of patients.
Goodnight J.E., "Comparison of minimally invasive esophagectomy with transthoracic and transhiatal
esophagectomy," JAMA Surgery, vol.