Laparoscopic Transhiatal Esophagectomy Surgery in India at Low Cost |
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 Laparoscopic Transhiatal Esophagectomy Surgery in India Laparoscopic Transhiatal Esophagectomy and Gastric Pull-Up for Esophageal Rupture Laparoscopic esophagectomy and gastric pull-up for cancer or esophageal trauma have been reported as challenge but safe procedures that reproduce results of open surgery by several authors. A laparoscopic tailoring of a gastric tube with transhjatal mediastinal dissection and gastric pull-up was performed in a young psycotic man referred for rupture of the cervical esophagus caused by large foreign bodies ingestion and clinical signes of mild mediastinitis.... METHODS : - A 2-stage procedure was performed. On emergency removal of the foreign bodies, double cervical esophagostomy and drainage were performed via a left lateral cervicotomy. After a 7 day ICU stay and complete recovery from the mediastinitis the patient underwent laparoscopic esophagectomy and gastric pull-up for reconstruction. All vascular pedicles but the gastroepiploic arch were divided. Stomach mobilisation was accomplished by ultrasonic dissection, the gastric tube fashioned by multiple linear stapler applications.... RESULTS: -   Postop course was uneventful. X-ray contrast swallow at postop day 9 showed good passage of contrast medium without leaks. Oral intake started right afterward. At 6-month and 12-month follow-up the patient was completely recovered with regular oral diet.... CONCLUSIONS : - Whatever the approach to mediastinal dissection of the esophagus, the laparoscopic tailoring of the stomach tube is a safe and advisable procedure for both cancer and trauma patients.....  Laparoscopic transhiatal esophagectomy for esophageal cancer Traditional esophagectomy may be associated with mortality, considerable morbidity, and lengthy recovery. It is often performed in cancer patients who are typically older, have associated comorbidities, and are often malnourished, all factors that increase surgical risk. Minimally invasive esophagectomy has the potential advantages of being a less traumatic procedure with an easier postoperative recovery and fewer wound and pulmonary complications.... METHODS : -   A retrospective analysis of patients who underwent laparoscopic transhiatal esophagectomy was performed. Assessed parameters included patient demographics and operative data, pathology results, and long-term follow-up of at least 12 months. ... RESULTS: -  Twenty-two patients underwent laparoscopic transhiatal esophagectomy; 19 had esophageal cancer. Two patients were operated on for Barrett esophagus, and 1 patient had achalasia. The majority of patients were men (82%), and the mean age was 59 years (range 15 to 74 years); 1 patient (4.5%) wasconverted to open surgery.... CONCLUSIONS : -   Esophagectomy is a major surgery with considerable morbidity and potential mortality. Minimally invasive esophagectomy is a feasible approach that can be safely performed by surgeons with extensive experience in that field....    Please log on to : www.indiahospitaltour.com Send your query : Get a Quote  We Care Core Values We have a very simple business model that keeps you as the centre. Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.   |
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