Esophageal Reconstruction
Step 1 Surgical Anatomy Reconstruction of the esophagus requires a detailed knowledge of the anatomy of the esophagus itself as well as the conduits used: ♦ Esophagus ▴ The left…
Minimally Invasive Esophagectomy
Step 1 Surgical Anatomy ♦ The esophagus includes cervical, thoracic, and abdominal segments and travels through the posterior mediastinum to join the stomach via the esophageal hiatus of the diaphragm….
Laparoscopic Collis Gastroplasty and Fundoplication
Step 1 Surgical Anatomy ♦ A comprehensive understanding of the anatomy of the esophagus and stomach is essential before performing surgical fundoplication or other operations of the foregut. ♦ Figures…
Resection of Benign Esophageal Tumors
Step 1 Surgical Anatomy ♦ A comprehensive understanding of the anatomy of the esophagus is critical before undertaking surgical procedures on the esophagus ( Fig. 35-1A-C ). Figure 35-1 (Adapted…
Esophageal Diverticulum Excision and Repair
Zenker’s Diverticulum Step 1 Surgical Anatomy ♦ The upper esophageal sphincter consists of the cricopharyngeal muscle, which courses transversely along the posterior portion of the esophagus. The esophagus borders superiorly…
Laparoscopic Myotomy and Fundoplication for Achalasia
Step 1 Surgical Anatomy ♦ A comprehensive understanding of foregut anatomy and physiology is critical to undertaking surgical procedures on the esophagus for benign disease. ♦ Figure 31-1 demonstrates the…
Transthoracic Antireflux Surgery Procedures
Step 1 Surgical Anatomy ♦ Key anatomic structures that must be considered in antireflux surgery include the lower esophageal sphincter (LES), gastroesophageal junction (GEJ), esophageal hiatus, phrenic nerve, and vagus…
Endoscopic Treatment for Gastroesophageal Reflux
Gastroesophageal reflux disease (GERD) affects more than 10 million Americans. Most are maintained on oral antacid medications such as histamine type 2 blockers and proton pump inhibitors (PPIs). A subset,…
Techniques of Esophageal Preservation for High-Grade Barrett Esophagus
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…
Robotic Esophagectomy
♦ 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…
