Abstract：
:Staged esophagectomy was developed in the mid-twentieth century in an attempt to reduce high rates of postoperative morbidity and mortality. Nowadays, the operation has almost been abandoned due to its significant disadvantages, especially the need for multiple surgeries, inability of patients to feed between operations, and morbidity of esophageal stoma. However, staged esophagectomy is still occasionally useful for very high-risk patients and in particular cases, for example multiple cancers of the aerodigestive tract and emergent esophagectomy. Staged esophagectomy is based on the division of surgical stress into two operations, which gives the patient time to recover before final restoration. Gastric tube ischemic preparation may be a more important mechanism in staged esophagectomy. This approach may survive and expand with the application of ischemic gastric pre-conditioning through embolization or laparoscopic ligation of the gastric arteries, which is a less explored and promising technique.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Schizas D,Michalinos A,Syllaios A,Dellaportas D,Kapetanakis EI,Hadjigeorgiou G,Vergadis C,Lasithiotakis K,Liakakos Tdoi
10.1007/s00595-019-01894-7subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1323-1331issue
11eissn
0941-1291issn
1436-2813pii
10.1007/s00595-019-01894-7journal_volume
50pub_type
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