TY  - CHAP
M1  - Book, Section
TI  - Two- and Three-Field Esophagectomy
A1  - Hunter, John G.
A1  - Spight, Donn H.
A1  - Sandone, Corinne
A1  - Fairman, Jennifer E.
PY  - 2018
T2  - Atlas of Minimally Invasive Surgical Operations
AB  - The  technique  of  minimally  invasive  esophagectomy  (MIE)  can  be  applied  to  almost  any  condition  for  which  resection  is  indicated.  Current  indications  include  neoplasms,  end-stage  achalasia,  esophageal  perforation,  Barrett  esophagus  with  high-grade  dysplasia,  and  complications  of  severe  gastroesophageal  reflux  disease  (GERD),  especially  undilatable  strictures.  Although  initial  experience  with  MIE  primarily  involved  patients  with  Barrett  esophagus  and  high-grade  dysplasia,  it  has  evolved  to  include  most  patients  with  resectable  malignant  lesions,  including  those  with  nodal  involvement  and  patients  who  have  undergone  prior  neoadjuvant  chemoradiation  therapy.  Although  there  are  no  absolute  contraindications  for  MIE,  resection  of  large  bulky  tumors,  reoperative  upper  abdominal  or  thoracic  operations,  and  the  need  for  colon  interposition  would  commonly  necessitate  an  open  approach.  Occasionally,  a  patient  may  be  a  candidate  for  a  “hybrid”  procedure:  a  patient  with  previous  mediastinitis  may  need  a  thoracotomy  and  laparoscopy,  or  a  patient  with  multiple  previous  abdominal  operations  may  need  a  laparotomy  but  has  no  contraindication  to  thoracoscopy.  There  are  many  variations  of  MIE,  but  three  approaches  predominate:  (1)  thoracoscopic  and  laparoscopic  dissections  with  cervical  anastomosis  (three-field  esophagectomy),  (2)  laparoscopic  and  thoracoscopic  dissections  with  intrathoracic  anastomosis  (Ivor-Lewis  technique),  and  (3)  laparoscopic  transhiatal  technique  with  cervical  anastomosis  (inversion  esophagectomy)  (Figure  1).  In  this  chapter  we  describe  the  first  two  operations;  laparoscopic  transhiatal  esophagectomy  is  described  in  Chapter  22.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1162529920
ER  -