By Shailesh Puntambekar, Miguel Cuesta
Atlas of Minimally Invasive surgical procedure in Esophageal Carcinoma presents either an easy-to-follow procedural handbook at the laparoscopic thoughts for esophageal carcinoma and a accomplished survey of the sphere of surgical procedure on esophageal carcinoma. the subsequent systems are offered, utilizing distinct anatomical images and step by step descriptions:Laparoscopic Trans-hiatal esophagectomy, Laparoscopic Trans-hiatal Resection for Distal and Gastro-Esophageal Junction melanoma: The Operative process, Trans-thoracic esophagectomy with 2 box nodal dissection, Trans-thoracic esophagectomy within the providers place. in the course of the publication, the authors emphasise the similarities of the rules and steps among open and laparoscopic surgical procedure, which considerably simplifies the conversion from one perform to the opposite. The accompanying motion pictures of those strategies at the Springer Extras site additional complements realizing of the surgical steps concerned. This e-book additionally encompasses a description of anesthesia innovations, a consultant to using staplers in laparoscopic surgical procedure, a comparability of the strength assets on hand for laparoscopic surgical procedure and a glance ahead to the expanding occurrence of robot surgical procedure for those tactics. A accomplished and authoritative paintings on minimally invasive surgical procedure in esophageal carcinoma, this booklet will turn out crucial analyzing for oncosurgeons, thoracoscopic surgeons and laparoscopic surgeons who may be appearing those procedures.
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Additional resources for Atlas of Minimally Invasive Surgery in Esophageal Carcinoma
3. The third stage is performed simultaneously by the second team. The cervical esophagus is mobilized and the stomach tube is placed intra-thoracically. The esophagogastric anastomosis is performed in the neck. Thoracoscopic and Laparoscopic Esophagectomy with Two-Field Nodal Clearance 35 Instrumentation 1. 2. 3. 4. 5. 6. 7. 8. 9. Two 10 mm and two 5 mm ports Bipolar forceps-two Needle holder Scissors Suction canula Two atraumatic fenestrated graspers Clip applicator (10 mm vascular locking clips – plastic) ACE harmonic A 0 or 30° scope Stage 1: Thoracoscopic Mobilization of the Esophagus Patient, Port, and Surgeon Positions (a) Patient Position The patient is placed with the right side up at an angle of 60° with the horizontal plane.
The author prefers the latter method, since the aim of the procedure is not to do everything laparoscopically, but to complete the operation with minimum morbidity. Mobilization of the Esophagus in the Neck The neck dissection is commenced by a second team, to mobilize the esophagus in the neck and upper mediastinum. A left horizontal supra-clavicular incision is taken, extending just beyond the lateral border of the left sternocleidomastoid muscle. The platysma and the omohyoid muscles are cut to expose the internal jugular vein.
18 (a-c) 16. 18a–c). 17. The plane of dissection always lies outside the vagus, and not between the vagus and the esophagus. This ensues less blood loss. 19a-f). 19 (Continued) 18. The left hand gives upward traction to the esophagus. The ﬁbro-fatty and the lymph tissue are swept toward the esophagus. 20a–g). 21 (a-d) 19. A further upward traction on the esophagus exposes the direct branches of the aorta which are usually two or three in number. 21a–d).