Left thoracoabdominal oesophagectomy: contemporary update on technique and outcomes

Author:

Singh Mohan1,Low Donald E2,Maynard Nicholas D3

Affiliation:

1. Department of Upper Gastrointestinal Surgery, Lancashire Teaching Hospitals NHS Trust , Preston , UK

2. Department of Thoracic Surgery and Thoracic Oncology, Virginia Mason Medical Center , Seattle, Washington , USA

3. Department of Upper Gastrointestinal Surgery, Oxford University Hospitals NHS Foundation Trust , Oxford , UK

Abstract

This contemporary guide to left thoracoabdominal oesophagectomy details the surgical aspects, surgical considerations, and outcomes from the two largest centres in the world that perform this procedure. The left thoracoabdominal approach increases the potential for negative resection margins in distal oesophageal, junctional, and cardial cancers. High-volume oesophageal centres should consider including the left thoracoabdominal approach in their operative options and ensure that their trainees are exposed to this unique approach to oesophagogastric resections.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference21 articles.

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2. The left thoracoabdominal incision;Heitmiller;Ann Thorac Surg,1988

3. The left thoracolaparotomy approach to cancer of the lower third of the esophagus and gastro-esophageal junction—the Oxford experience;Soin;Dis Esophagus,2004

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