Esofagectomia per via laparoscopica e transmediastinica videoassistita.

Translated title of the contribution: Esophagectomy by video-assisted laparoscopic and trans-mediastinal approach

Luigi Bonavina, Davide Bona, Medhanie Abraham, Fabio Bassi, Alberto Peracchia

Research output: Contribution to journalArticle

Abstract

The aim of study was to report our experience with an original technique of oesophagectomy without thoracotomy. The operation consists of two complementary approaches. Laparoscopic access enables the surgeon to mobilize the stomach and dissect the distal oesophagus. Cervical access allows dissection of the upper thoracic oesophagus under vision using a special videomediastinoscope. Six patients with oesophageal carcinoma or high-grade dysplasia in Barrett's oesophagus were selected for this operation over the period from October 2000 to December 2001. The operation was completed by minimally invasive access in 4 of the 6 patients. The mean duration of the operation was 240 minutes, and the postoperative hospital stay 9.5 days. One patient required endoscopic pneumatic dilatation of the pylorus 2 weeks after surgery. This technique enhances the safety of conventional oesophagectomy without thoracotomy by avoiding the "blind" dissection of the upper mediastinum. The advantages of laparoscopy include superior staging of the disease, gastric mobilization, and lymphadenectomy of the lower mediastinum. The ideal candidates for this operation are patients with high-grade dysplasia or T1-N0 adenocarcinoma arising from Barrett's oesophagus.

Original languageItalian
Pages (from-to)285-288
Number of pages4
JournalChirurgia Italiana
Volume54
Issue number3
Publication statusPublished - May 2002

Fingerprint

Esophagectomy
Barrett Esophagus
Mediastinum
Thoracotomy
Esophagus
Dissection
Stomach Diseases
Pylorus
Lymph Node Excision
Laparoscopy
Dilatation
Length of Stay
Stomach
Adenocarcinoma
Thorax
Carcinoma
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Esofagectomia per via laparoscopica e transmediastinica videoassistita. / Bonavina, Luigi; Bona, Davide; Abraham, Medhanie; Bassi, Fabio; Peracchia, Alberto.

In: Chirurgia Italiana, Vol. 54, No. 3, 05.2002, p. 285-288.

Research output: Contribution to journalArticle

Bonavina, L, Bona, D, Abraham, M, Bassi, F & Peracchia, A 2002, 'Esofagectomia per via laparoscopica e transmediastinica videoassistita.', Chirurgia Italiana, vol. 54, no. 3, pp. 285-288.
Bonavina, Luigi ; Bona, Davide ; Abraham, Medhanie ; Bassi, Fabio ; Peracchia, Alberto. / Esofagectomia per via laparoscopica e transmediastinica videoassistita. In: Chirurgia Italiana. 2002 ; Vol. 54, No. 3. pp. 285-288.
@article{8c961f53f3a64f478198baae71f0c5b4,
title = "Esofagectomia per via laparoscopica e transmediastinica videoassistita.",
abstract = "The aim of study was to report our experience with an original technique of oesophagectomy without thoracotomy. The operation consists of two complementary approaches. Laparoscopic access enables the surgeon to mobilize the stomach and dissect the distal oesophagus. Cervical access allows dissection of the upper thoracic oesophagus under vision using a special videomediastinoscope. Six patients with oesophageal carcinoma or high-grade dysplasia in Barrett's oesophagus were selected for this operation over the period from October 2000 to December 2001. The operation was completed by minimally invasive access in 4 of the 6 patients. The mean duration of the operation was 240 minutes, and the postoperative hospital stay 9.5 days. One patient required endoscopic pneumatic dilatation of the pylorus 2 weeks after surgery. This technique enhances the safety of conventional oesophagectomy without thoracotomy by avoiding the {"}blind{"} dissection of the upper mediastinum. The advantages of laparoscopy include superior staging of the disease, gastric mobilization, and lymphadenectomy of the lower mediastinum. The ideal candidates for this operation are patients with high-grade dysplasia or T1-N0 adenocarcinoma arising from Barrett's oesophagus.",
author = "Luigi Bonavina and Davide Bona and Medhanie Abraham and Fabio Bassi and Alberto Peracchia",
year = "2002",
month = "5",
language = "Italian",
volume = "54",
pages = "285--288",
journal = "Chirurgia Italiana",
issn = "0009-4773",
publisher = "Bi & Gi Editori",
number = "3",

}

TY - JOUR

T1 - Esofagectomia per via laparoscopica e transmediastinica videoassistita.

AU - Bonavina, Luigi

AU - Bona, Davide

AU - Abraham, Medhanie

AU - Bassi, Fabio

AU - Peracchia, Alberto

PY - 2002/5

Y1 - 2002/5

N2 - The aim of study was to report our experience with an original technique of oesophagectomy without thoracotomy. The operation consists of two complementary approaches. Laparoscopic access enables the surgeon to mobilize the stomach and dissect the distal oesophagus. Cervical access allows dissection of the upper thoracic oesophagus under vision using a special videomediastinoscope. Six patients with oesophageal carcinoma or high-grade dysplasia in Barrett's oesophagus were selected for this operation over the period from October 2000 to December 2001. The operation was completed by minimally invasive access in 4 of the 6 patients. The mean duration of the operation was 240 minutes, and the postoperative hospital stay 9.5 days. One patient required endoscopic pneumatic dilatation of the pylorus 2 weeks after surgery. This technique enhances the safety of conventional oesophagectomy without thoracotomy by avoiding the "blind" dissection of the upper mediastinum. The advantages of laparoscopy include superior staging of the disease, gastric mobilization, and lymphadenectomy of the lower mediastinum. The ideal candidates for this operation are patients with high-grade dysplasia or T1-N0 adenocarcinoma arising from Barrett's oesophagus.

AB - The aim of study was to report our experience with an original technique of oesophagectomy without thoracotomy. The operation consists of two complementary approaches. Laparoscopic access enables the surgeon to mobilize the stomach and dissect the distal oesophagus. Cervical access allows dissection of the upper thoracic oesophagus under vision using a special videomediastinoscope. Six patients with oesophageal carcinoma or high-grade dysplasia in Barrett's oesophagus were selected for this operation over the period from October 2000 to December 2001. The operation was completed by minimally invasive access in 4 of the 6 patients. The mean duration of the operation was 240 minutes, and the postoperative hospital stay 9.5 days. One patient required endoscopic pneumatic dilatation of the pylorus 2 weeks after surgery. This technique enhances the safety of conventional oesophagectomy without thoracotomy by avoiding the "blind" dissection of the upper mediastinum. The advantages of laparoscopy include superior staging of the disease, gastric mobilization, and lymphadenectomy of the lower mediastinum. The ideal candidates for this operation are patients with high-grade dysplasia or T1-N0 adenocarcinoma arising from Barrett's oesophagus.

UR - http://www.scopus.com/inward/record.url?scp=0036583420&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036583420&partnerID=8YFLogxK

M3 - Articolo

C2 - 12192920

AN - SCOPUS:0036583420

VL - 54

SP - 285

EP - 288

JO - Chirurgia Italiana

JF - Chirurgia Italiana

SN - 0009-4773

IS - 3

ER -