Radical minimally invasive esophagectomy for esophageal cancer via transcervical and transhiatal approaches: a narrative review.

ABSTRACT:

Objective

Minimally invasive esophagectomy (MIE) has been widely applied for the treatment of esophageal carcinoma. It is much less invasive, as it avoids employing a transthoracic procedure.

Background

MIE via transcervical and transhiatal approaches has been adopted in our center. In this approach, with the assistance of single-port techniques or robotic-assisted surgical systems, the esophagus is mobilized under visualization, which is followed by the removal of esophageal and mediastinal lymph nodes.

Methods

Increasing the surgical space by mediastinal insufflation or by elevation of the sternum with a hook may improve intraoperative identification of tissues and facilitate intraoperative mobilizations. The procedure can be performed simultaneously via both cervic

SUBMITTER: Wang Z 

PROVIDER: S-EPMC8411146 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature