RT Book, Section A1 Ziv, Gamliel A1 Krasna, Mark J. A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Colson, Yolonda L. A2 Jaklitsch, Michael T. A2 Krasna, Mark J. A2 Mentzer, Steven J. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1105838678 T1 Transhiatal Esophagectomy T2 Adult Chest Surgery, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-178189-3 LK accesssurgery.mhmedical.com/content.aspx?aid=1105838678 RD 2024/04/25 AB Transhiatal esophagectomy was popularized by Orringer in the late 1970s as a less invasive approach to esophagectomy.1,2 This approach avoids thoracotomy and has been endorsed primarily by nonthoracic general surgeons who perform esophagectomy. For trained thoracic surgeons, the main drawbacks of this approach are the inability to perform an extensive lymph node dissection and the risk of injury to the great vessels and main airways with tumors of grade T3 or greater.3,4 We describe herein our current technique for transhiatal esophagectomy, which includes minor modifications to the original Orringer technique.