Techniques of esophageal surgery:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Philadelphia [u.a.]
Saunders
1995
|
| Series: | Chest surgery clinics of North America
5,3 |
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | VIII S., S. 379 - 574 Ill. |
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| 245 | 1 | 0 | |a Techniques of esophageal surgery |c Carolyn E. Reed, guest ed. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 1995 | |
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Record in the Search Index
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| adam_text | TECHNIQUES OF ESOPHAGEAL SURGERY
CONTENTS
Preface xi
Carolyn E. Reed
Open Nissen Fundoplication 379
Mark K. Ferguson
The Nissen fundoplication currently is the most commonly used
antireflux operation. It may be performed using a transabdominal
or a transthoracic approach. Early postoperative complications
are not infrequent and include dysphagia and the gas bloat
syndrome. Excellent or good long term results are obtained in
more than 85% of patients.
Belsey Mark IV Antireflux Procedure 395
Jemi Olak
The unmodified version of the Belsey Mark IV antireflux proce¬
dure is described. Specific indications for use of this procedure
to treat gastroesophageal reflux disease are listed. Patient prepa¬
ration and anesthetic considerations are discussed.
Hill Antireflux Operation 411
Donald E. Low
The Hill antireflux operation was developed in the 1950s and is
the only one of the major repairs predicated on firmly re anchor¬
ing the esophagogastric junction within the abdominal cavity. The
repair uses the anterior and posterior phrenoesophageal bundles,
anchoring them down to the preaortic fascia, and thereby, ac¬
centuating the angle of His and creating or accentuating the
CHEST SURGERY CLINICS OF NORTH AMERICA
VOLUME 5 • NUMBER 3 • AUGUST 1995 V
gastroesophageal flap valve mechanism. Long term follow up
studies done at the Virginia Mason Medical Center in Seattle
have demonstrated the Hill operation to be a safe and effective
treatment for patient with medical refractory gastroesophageal
reflux disease.
Uncut Collis Nissen Gastroplasty 423
Victor F. Trastek
Gastroesophageal reflux affects millions of people on a daily
basis. The symptoms and complications of this process can be
troublesome, chronic, and severe. The treatment of this disease is
addressed by medical therapy in the majority of cases; however,
for those in whom this is not sufficient, surgery may be indicated.
Paraesophageal hernia and intrathoracic stomach also can cause
symptoms of an obstructive nature with or without related reflux
disease. There have been numerous surgical procedures invented
to reduce a diaphragmatic hernia and improve competence of the
lower esophageal sphincter. The uncut Collis Nissen gastroplasty
couples the Nissen fundoplication with a modification of the
Collis maneuver and allows competence of the sphincter to be
restored without tension. This article provides a brief overview
of the historical background, development, technical steps, and
results of this procedure.
The Technique of Laparoscopic Nissen Fundoplication 437
Frank Raiser, Ronald A. Hinder, Pamela J. McBride,
Natsuya Katada, and Charles J. Filipi
The advent of minimally invasive surgery has made possible the
application of laparoscopic techniques to antireflux surgery. This
has made antireflux surgery more appealing by reducing postop¬
erative pain, the length of hospital stay, and the period of conva¬
lescence while still creating a fundoplication identical to that
provided by the open technique. Laparoscopic Nissen fundoplica¬
tion offers patients with severe gastroesophageal reflux disease
(GERD) an attractive alternative to lifelong medical therapy in
the form of a minimally invasive operation with the prospect of
excellent long term results. This article discusses the indications
for surgery, preoperative evaluation, operative technique, and
perioperative management of patients undergoing laparoscopic
Nissen fundoplication.
Pharyngoesophageal Diverticulum: Technique of Repair 449
Mark S. Allen
Pharyngoesophageal diverticulum is an acquired defect resulting
from an incoordination of the cricopharyngeal muscle. Common
symptoms are dysphagia, regurgitation, and aspiration. The de¬
fect is repaired through a cervical incision and should include
a diverticulectomy and a myotomy. Results are excellent and
complications are unusual.
vi CONTENTS
Thoracoscopic Heller s Myotomy: Treatment of Achalasia
by the Videoendoscopic Approach 459
Carlos Arreola Risa, Mika Sinanan, and Carlos A. Pellegrini
The treatment of achalasia by videoendoscopic techniques has
proven to be feasible, safe, and effective in relieving dysphagia.
In this article, the authors discuss the specific techniques used in
their institution to treat patients diagnosed through objective
testing to be suffering with achalasia. Thoracoscopic Heller s My¬
otomy, the treatment of choice for these patients, is described in
detail. The authors experience with 30 patients has shown that
the majority (87% in follow up study) consider their life following
surgery to be good or excellent.
Technique of Esophageal Dilation 471
William A. Webb
The widespread use of flexible upper gastrointestinal (GI) endos
copy has renewed interest in management of strictures of the
esophagus, including dilation. The rubber Maloney dilator is the
most common dilator used, usually for symmetrical strictures 1.2
cm or greater in diameter. The through the scope (TTS) balloon
dilators usually are used in asymmetrical strictures 1.2 cm or
greater in diameter and are especially valuable if fluoroscopy is
not available. The new thermoplastic Savary dilators, used with
a guidewire and usually with fluoroscopy, have replaced the
Eder Puestow bougies. They are especially useful in difficult stric¬
tures that are 1.0 cm or less in diameter and are fibrotic or have
transmural fibrosis.
Atkinson Tube Placement 481
Carolyn E. Reed
Endoscopic intubation of a malignant esophageal stricture with
an endoprosthesis allows quick and adequate palliation for a
patient with a very limited life span. The technique of Atkinson
tube insertion is described and illustrated. Complications are
discussed briefly.
Thoracoscopic Staging of Esophageal Carcinoma 489
Mark J. Krasna
Thoracoscopy is an excellent complement to mediastinoscopy in
staging thoracic malignancies. The author describes the technique
of thoracoscopic and laparoscopic lymph node staging for pa¬
tients with esophageal carcinoma.
Ivor Lewis Esophagectomy 515
Manjit S. Bains
Resection of esophageal cancer offers the most effective palliation
and the best chance of cure. The technique described by Ivor
CONTENTS vii
Lewis through a midline laparotomy and a right posterolateral
thoracotomy remains the most popular approach. It permits ex¬
cellent exposure to the epigastrium and the posterior mediasti¬
num and is well tolerated by the patients.
Transhiatal Esophagectomy 527
Joseph B. Zwischenberger and Aravind B. Sankar
Transhiatal esophagectomy (THE) with cervical esophogastric
anastomosis avoids thoracotomy and the potential for sepsis from
an intrathoracic anastomotic leak. Knowledge of anatomy, careful
attention to details of the operation, and good judgment toward
patient selection will allow THE to be a valuable tool in the
surgical palliation of esophageal carcinoma.
Left Transthoracic Esophagectomy 543
Mark J. Krasna
Left transthoracic esophagectomy remains an important option
in performing esophagectomy. This is especially appropriate for
malignancies of the distal esophagus and gastroesophageal (GE)
junction. Likewise, resections in patients who have had prior
surgery at the GE junction are easily performed through the left
chest. The technical details of left transthoracic esophagectomy
are described and illustrated.
Use of Colon and Jejunum as Possible Esophageal
Replacements 555
Claude Deschamps
When the stomach is not available, the colon or the small bowel
can act as appropriate replacement conduits for the esophagus.
A short left colon or small bowel interposition is favored for a
short conduit. A long, left colon interposition is recommended for
a subtotal or total esophagectomy. A long limb Roux Y jejunum
interposition is favored following a total gastrectomy. The ulti¬
mate goal should be to restore the function of swallowing with
minimal morbidity and mortality.
Index 571
Subscription Information Inside back cover
viii contents
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| physical | VIII S., S. 379 - 574 Ill. |
| publishDate | 1995 |
| publishDateSearch | 1995 |
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| publisher | Saunders |
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| series | Chest surgery clinics of North America |
| series2 | Chest surgery clinics of North America |
| spelling | Techniques of esophageal surgery Carolyn E. Reed, guest ed. Philadelphia [u.a.] Saunders 1995 VIII S., S. 379 - 574 Ill. txt rdacontent n rdamedia nc rdacarrier Chest surgery clinics of North America 5,3 Oesophage - Chirurgie Esophagus surgery Speiseröhrenchirurgie (DE-588)4136376-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Speiseröhrenchirurgie (DE-588)4136376-0 s DE-604 Reed, Carolyn E. Sonstige oth Chest surgery clinics of North America 5,3 (DE-604)BV005455558 5,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006971554&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Techniques of esophageal surgery Chest surgery clinics of North America Oesophage - Chirurgie Esophagus surgery Speiseröhrenchirurgie (DE-588)4136376-0 gnd |
| subject_GND | (DE-588)4136376-0 (DE-588)4143413-4 |
| title | Techniques of esophageal surgery |
| title_auth | Techniques of esophageal surgery |
| title_exact_search | Techniques of esophageal surgery |
| title_full | Techniques of esophageal surgery Carolyn E. Reed, guest ed. |
| title_fullStr | Techniques of esophageal surgery Carolyn E. Reed, guest ed. |
| title_full_unstemmed | Techniques of esophageal surgery Carolyn E. Reed, guest ed. |
| title_short | Techniques of esophageal surgery |
| title_sort | techniques of esophageal surgery |
| topic | Oesophage - Chirurgie Esophagus surgery Speiseröhrenchirurgie (DE-588)4136376-0 gnd |
| topic_facet | Oesophage - Chirurgie Esophagus surgery Speiseröhrenchirurgie Aufsatzsammlung |
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