Step 1 Surgical Anatomy ♦ A comprehensive understanding of the anatomy of the esophagus before undertaking surgical procedures on the esophagus is critical. ♦ Figure 30-1 illustrates the anatomic layers…
♦ Esophagectomy is associated with high morbidity and mortality rates, not only because it involves the manipulation of both abdominal and thoracic-mediastinal structures but also because the patients are often…
History Transhiatal esophagectomy (THE) has been gaining popularity for the past two and a half decades. In 1978 Orringer and Sloan renewed interest in this procedure, presenting it as an…
Step 1 Surgical Anatomy ♦ The thoracic esophagus courses through the posterior aspect of the middle mediastinum. In most patients the esophagus lies in the midline; however, slight deviation to…
Step 1 Surgical Anatomy ♦ Solid working knowledge of the anatomy of the chest, in particular the hilar relationships of the left and right lung, is crucial. Other important structures…
Step 1 Surgical Anatomy ♦ The thymus is a lymphoid organ located in the anterior mediastinum overlying the pericardium and great vessels. It is a bi-lobed, H -shaped lymphoid organ,…
Step 1 Surgical Anatomy ♦ Pectus excavatum, or funnel chest, is the most common of all congenital chest wall deformities. It is defined as the posterior depression of the inferior…
Step 1 Surgical Anatomy ♦ An understanding of the chest wall anatomy is important to plan and execute a resection of the chest wall. The intercostal artery, vein, and nerve…
Sympathectomy is a surgical procedure where portions of the sympathetic nerve trunk are destroyed to treat diseases such as hyperhidrosis (HH), facial blushing, and Raynaud disease. Sympathectomy itself is a…
Step 1 Surgical Anatomy ♦ Bronchopleural fistulae are more common after a right pneumonectomy than after a left pneumonectomy because the right main bronchus extends into the pleural space, whereas…
