TY - CHAP M1 - Book, Section TI - Left Thoracoabdominal Approach A1 - Morse, Christopher R. A1 - Mathisen, Douglas 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 PY - 2015 T2 - Adult Chest Surgery, 2e AB - A thoracoabdominal approach to resection of the esophagus is most useful with tumors of the distal esophagus that lie inferior to the aortic arch as well as lesions of the gastric cardia. Eggers first reported the use of a left thoracoabdominal incision for a partial resection of the esophagus in 1931.1 Eventual resection of the distal esophagus and replacement with mobilized stomach was described by Adams and Phemister in 1938.2 Finally, Sweet3 described the technique of anastomosis on the basis of the principles of meticulous technique and attention to detail. The thoracoabdominal incision provides excellent access to the abdomen. With extension of the incision through the costal arch, left rectus muscle, and diaphragm, the esophagus can be mobilized and replaced with stomach, colon, or jejunum depending on the situation. In addition, with an upward paravertebral extension of the incision and Sweet's double-rib resection, one can reach almost any lesion of the intrathoracic esophagus.3 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105839008 ER -