TY  - CHAP
M1  - Book, Section
TI  - ESOPHAGECTOMY, TRANSTHORACIC
A1  - Ellison, E. Christopher
A1  - Zollinger, Robert M.
PY  - 2016
T2  - Zollinger's Atlas of Surgical Operations, 10e
AB  - Transthoracic  esophagectomy  is  indicated  for  the  management  of  surgically  resectable  cancers  of  the  esophagus  and  gastroesophageal  junction.  An  abdominal  incision  is  utilized  to  mobilize  the  distal  esophagus  and  gastroesophageal  junction,  including  the  tumor  and  surrounding  lymph  nodes.  The  gastric  conduit  is  mobilized  and  the  blood  supply  is  based  on  the  right  gastroepiploic  artery.  The  thoracic  esophagus  is  then  approached  through  a  right  posterolateral  thoracotomy  through  which  the  specimen  is  resected  and  reconstruction  is  performed.  Surgical  resection  is  indicated  for  early  staged,  nonmetastatic  tumors  that  are  not  amenable  to  endoscopic  resection  (T1).  Surgery  is  also  performed  for  nonmetastatic,  intermediate  staged  tumors  (T2–T4,  N1),  but  usually  follows  a  course  of  chemoradiation  and  restaging.  Transthoracic  esophagectomy  may  also  be  indicated  for  the  management  of  benign  disease  such  as  refractory  strictures,  caustic  injuries,  or  a  dilated  “burned  esophagus”  with  dysphagia  following  treatment  for  achalasia.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1127272371
ER  -