RT Book, Section
A1 Wee, Jon O.
A1 Stewart, Shelby J.
A1 Bueno, Raphael
A2 Zinner, Michael J.
A2 Ashley, Stanley W.
A2 Hines, O. Joe
SR Print(0)
ID 1160040128
T1 Surgical Procedures to Resect and Replace The Esophagus
T2 Maingot's Abdominal Operations, 13e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071843072
LK accesssurgery.mhmedical.com/content.aspx?aid=1160040128
RD 2024/09/17
AB Billroth  and  Czerny  described  the  first  esophageal  resections  in  the  1870s,  and  these  consisted  of  resections  of  the  cervical  esophagus  without  reconstruction.  Later,  resection  of  gastroesophageal  (GE)  junction  tumors  was  performed  by  laparotomy  with  gastroesophageal  anastomosis  to  reestablish  intestinal  continuity.  Because  there  were  concerns  over  respiratory  compromise,  surgeons  were  hesitant  to  enter  the  chest  to  perform  esophageal  resection.  In  1915,  Torek  described  the  first  transthoracic  esophageal  resection.1  He  used  a  left  thoracotomy  to  resect  the  esophagus  but  did  not  attempt  reconstruction.  Instead,  a  cervical  esophagostomy  and  abdominal  gastrostomy  were  performed.  A  3-ft-long  external  rubber  tube  was  used  to  connect  the  ostomies,  and  it  allowed  the  patient  to  eat  for  17  more  years  (Fig.  27-1).  Turner  performed  the  first  transhiatal  esophagectomy  in  1933.2  Oshawa  reported  the  first  transthoracic  resection  of  the  esophagus  with  esophagogastric  anastomosis  in  1933.3  Knowledge  of  this  procedure  did  not  become  widespread  in  the  Western  community  until  Adams  and  Phemister  described  the  procedure  in  1938.4