Abstract:
AIM:To prospectively present our initial experience with totally laparoscopic transhiatal esophagogastrectomies for benign diseases of the cardia and distal esophagus. METHODS:Laparoscopic gastric mobilization and tubularization combined with transhiatal esophageal dissection and intrathoracic esophagogastric anastomosis accomplished by a circular stapler was done in 3 patients. There were 2 females and 1 male patient with a mean age of 73 +/- 5 years. RESULTS:Two patients were operated on due to benign stromal tumor of the cardia and one patient had severe oesophageal peptic stenosis. Mean blood loss was 47 +/- 15 mL and mean operating time was 130 +/- 10 min. There were no cases that required conversion to laparotomy. All patients were extubated immediately after surgery. Soft diet intake and ambulation times were 5.1 +/- 0.4 d and 2.6 +/- 0.6 d, respectively. There were no intraoperative and postoperative complications and there were no perioperative deaths. The average length of hospital stay was 9.3 +/- 3 d. All procedures were curative and all resected margins were tumor free. The mean number of retrieved lymph nodes was 18 +/- 8. CONCLUSION:Laparoscopic transhiatal esophago-gastrectomy for benign lesions has good effects and proves feasible and safe.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Dulucq JL,Wintringer P,Mahajna Adoi
10.3748/wjg.v13.i2.285subject
Has Abstractpub_date
2007-01-14 00:00:00pages
285-8issue
2eissn
1007-9327issn
2219-2840journal_volume
13pub_type
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