Chassin’s Operative Strategy in Esophageal Surgery by Thomas H. Gouge (auth.), Carol E. H. Scott-Conner MD, PhD,

By Thomas H. Gouge (auth.), Carol E. H. Scott-Conner MD, PhD, MA (eds.)

Chassin’s Operative concepts in Esophageal surgical procedure deals the reader a succinct evaluate of surgical innovations for problems of the esophagus. Spanning from well-established legacy systems to the main up to date minimally invasive ways for GERD, this brilliantly illustrated atlas completely provides the theoretical foundation of the operations in addition to the recommendations required to lead away from universal pitfalls. Educed from Chassin’s Operative suggestions mostly surgical procedure, this quantity comprises step by step descriptions of 13 (13) operative methods in esophageal surgery.

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Additional resources for Chassin’s Operative Strategy in Esophageal Surgery

Example text

Sugarbaker DJ, Jaklitsch MT, Liptay MJ. Thoracoscopic staging and surgical therapy for esophageal cancer. Chest 1995;107(suppl):218S. 3 Esophagogastrectomy Left Thoracoabdominal Approach INDICATIONS OPERATIVE STRATEGY Carcinoma of the distal esophagus or proximal stomach Distal esophageal stricture Objectives of Esophagogastrectomy PREOPERATIVE PREPARATION See Chapter 2. PITFALLS AND DANGER POINTS Anastomotic failure. Ischemia of gastric pouch. Pay meticulous attention to preserving the entire arcade of the right gastroepiploic artery and vein along the greater curvature of the stomach.

3–12 avoiding any possibility of trauma to the stomach. If splenectomy is not necessary, enter the lesser sac through the avascular space above the left gastroepiploic vessels and individually control and divide the short gastric vessels. Working from above down, divide the left gastroepiploic vessels and open the lesser sac to identify the gastroepiploic arcades from both front and back. Be sure always to leave 3–5 cm of redundant omentum attached to the vascular arcade. Identify the plane separating the colon mesentery from the gastroepiploic arcade.

With electrocautery divide the rhomboid and trapezium muscles medial to the scapula. Retract the scapula in a cephalad direction and free the erector spinal muscle from the necks of the sixth and fifth ribs. Free a short (1 cm) segment of the sixth (and often of the fifth) rib of its surrounding periosteum and excise it (Fig. 3–23). Divide and ligate or electrocoagulate the intercostal nerves with their accompanying vessels (Fig. 3–24). Reinsert the Finochietto or other mechanical retractor (Fig.

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