RT Book, Section A1 Namm, Jukes P. A1 Posner, Mitchell C. A2 Morita, Shane Y. A2 Balch, Charles M. A2 Klimberg, V. Suzanne A2 Pawlik, Timothy M. A2 Posner, Mitchell C. A2 Tanabe, Kenneth K. SR Print(0) ID 1145761062 T1 Transhiatal Esophagectomy T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK accesssurgery.mhmedical.com/content.aspx?aid=1145761062 RD 2024/04/19 AB Surgery, either alone or in combination with other therapeutic options (chemotherapy and/or radiotherapy), remains an essential component of a multimodality approach to midstage esophageal cancer and an effective means to achieve a long-term disease-free state. However, despite considerable improvements in reducing the perioperative morbidity and mortality of esophageal resection, surgery alone—regardless of the approach—is inadequate to achieve a cure in the vast majority of patients.1,2 The history of surgical resection for esophageal carcinoma has been well described by Hurt.3 The first successful resection of a cervical esophageal carcinoma was performed by Czerny in 1877. Denk followed by describing the first “pull through” operation in a cadaver that removed the esophagus without a thoracotomy in 1913. Turner further developed the technique and performed the first successful Denk-type operation on a patient in 1933. However, due to early failures, the transpleural esophageal resection became the established procedure for esophageal carcinoma until Orringer reintroduced the transhiatal Denk-Turner “pull through” operation in 1976 reporting impressive initial results—subsequently updated and validated—that mimicked those produced with the transthoracic approach.4,5