Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique

Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique

Tabatabaei SA¹ ; Hashemi SM¹ ; Kelidari B¹

Show Affiliations

1. Department of surgery, Isfahan University of Medical Science (IUMS), Isfahan, Iran

Source: Iranian Journal of Cancer Prevention Published:2015

Abstract

Background: Considering the poor survival rate of patients with esophageal cancers, mainly due to the disease effects and surgical co morbidities, we have aimed to introduce a new method of Transhiatal Esophagectomy (THE) without mediastinal manipulation for lower third esophageal and cardial cancers. It has suggested that using this technique would decrease mentioned complications. Methods: In this prospective study, patients with esophageal cancer who referred for surgical treatment have enrolled and undergone to new method of THE, without mediastinal manipulation. Pre and post-operative morbidities as well as the duration of procedure, duration of hospital and ICU stay have recorded. All patients have followed up or 4-40 months. Results: In this study 53 patients with mean age of 55. 2+/-10. 3 years have undergone esophagectomy, and then in 50 of them the new method has performed. Median operative time and volume of blood loss was 120 minutes and 130 ml, respectively. Median duration of hospital and ICU stay was 7 and 1 day, respectively. There were no Pre-operative mortalities, arrhythmia, hemodynamic instability and mediastinal vessels injury. The most common co morbidities have related to our new method were mediastinal pleura injury, anastomotic leaks and anastomotic narrowing with 20%, 16% and 10% reported rate, respectively. Conclusion: The findings of current study have indicated that transhiatal esophagectomy without mediastinal manipulation, has represented a safe and effective method for treatment of lower third esophageal and cardial cancers due to its potential advantages of decreased blood loss, being a less traumatic procedure, minimal cardiopulmonary complications and low rate of hospital mortality. © 2015, Cancer Research Center. All rights reserved.

Related Docs

View other Related Docs

1. Evaluation of Mechanical Ventilation Mean Duration and Its Predicting Factors During Transhiatal Esophagectomy in Patients With Esophageal Cancer, Journal of Isfahan Medical School (2011)

2. Incidence and Risk Factors of an Intraoperative Arrhythmia in Transhiatal Esophagectomy, Iranian Red Crescent Medical Journal (2015)

3. Incidence and Risk Factors Predisposing Anastomotic Leak After Transhiatal Esophagectomy, Annals of Thoracic Medicine (2009)

4. Respiratory Complications After Transhiatal Esophagectomy, Journal of Isfahan Medical School (2009)

5. Predictive Factors of Anastomotic Stricture of After Trans Hiatal Esophagectomy, Journal of Isfahan Medical School (2009)

6. The Relation Between Tumor Lengths and Survival in Patients With Esophageal Cancer, Journal of Isfahan Medical School (2020)

7. Predicting Factors for Anastomotic Leakage After Esophageal Cancer Resection, Iranian Journal of Cancer Prevention (2009)

8. Identification of Syt10 As a Potential Prognostic Biomarker in Esophageal Cancer by Comprehensive Analysis of a Mrna-Pseudogene/Lncrna-Mirna Cerna Network, Human Gene (2023)

Experts (# of related papers)

View all Related Experts

Seyed Mozaffar Hashemi (8)

Gholamreza Mohajeri (3)

Style	Citing Format
MLA	Tabatabaei SA, Hashemi SM, Kelidari B. "Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique." Iranian Journal of Cancer Prevention, vol. 8, no. 2, 2015, pp. 89-93.
APA	Tabatabaei SA, Hashemi SM, Kelidari B (2015). Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique. Iranian Journal of Cancer Prevention, 8(2), 89-93.
Chicago	Tabatabaei SA, Hashemi SM, Kelidari B. "Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique." Iranian Journal of Cancer Prevention 8, no. 2 (2015): 89-93.
Harvard	Tabatabaei SA, Hashemi SM, Kelidari B (2015) 'Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique', Iranian Journal of Cancer Prevention, 8(2), pp. 89-93.
Vancouver	Tabatabaei SA, Hashemi SM, Kelidari B. Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique. Iranian Journal of Cancer Prevention. 2015;8(2):89-93.
BibTex	@article{ author = {Tabatabaei SA and Hashemi SM and Kelidari B}, title = {Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique}, journal = {Iranian Journal of Cancer Prevention}, volume = {8}, number = {2}, pages = {89-93}, year = {2015} }
RIS	TY - JOUR AU - Tabatabaei SA AU - Hashemi SM AU - Kelidari B TI - Transhiatal Esophagectomy Without Mediastinal Manipulation for Lower Third Esophageal and Cardial Cancers: The First Experience of a New Technique JO - Iranian Journal of Cancer Prevention VL - 8 IS - 2 SP - 89 EP - 93 PY - 2015 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract