RT Book, Section
A1 Gamliel, Ziv
A1 Krasna, Mark J.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Burt, Bryan M.
A2 Groth, Shawn S.
A2 Loor, Gabriel
A2 Wolf, Andrea S.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1170406245
T1 Transhiatal Esophagectomy
T2 Sugarbaker’s Adult Chest Surgery, 3e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260026931
LK accesssurgery.mhmedical.com/content.aspx?aid=1170406245
RD 2024/04/18
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.