Hand-assisted Laparoscopic Transhiatal Esophagectomy for Esophageal Cancer Akihiko TSUCHIDA 1 , Yoshiaki OSAKA 1 , Yu TAKAGI 1 , Shigeru SATO 1 , Tatsuya AOKI 1 , Yasuhisa KOYANAGI 1 1Department of Surgery, Tokyo Medical University Keyword: 片手補助 , 腹腔鏡下手術 , 食道抜去術 pp.560-564
Published Date 2001/12/15
DOI https://doi.org/10.11477/mf.4426900277
  • Abstract
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We performed Hand-assisted laparoscopic transhiatal esophagectomy in 3 patients with esophageal cancer. A small incision of about 6cm at the upper median abdomen was made for the insertion of the left hand, and 3 trocars of 12mm in diameter were placed in the left upper abdomen. For the surgical procedure, left epiploic vessels and short gastric vessels were first dissected using Laparosopic Coagulating Shears (LCS) at a height nearly equal to the inferior edge of the spleen. As a result, the stomach was completely free from the gastrosplenic ligament.

Copyright © 2001, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.


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