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Monthly publications

#July 2006
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Minimally invasive esophagectomy in a patient in a prone position
This video demonstrates a total esophagectomy for a cancer of distal esophagus. The surgeon starts with right thoracoscopy with the patient in a prone position. The esophagus and adjoining lymphatics are mobilized and separated from the adjoining structures. The azygos vein is divided. Once full mobilization of the thoracic esophagus is achieved, a chest tube is inserted and the trocars are removed and the patient is put in a supine position. The surgeon now performs laparoscopic dissection of the left gastric vessels and lymphatics. A gastric tube is created and duodenum is kocherized. After full mobilization of the gastroesophageal junction and the tumor at the hiatus, a cervicotomy is carried out and the esophagus is pulled out through the cervical incision. The esophagus is resected and a side-to-side stapled anastomosis is made between the cervical esophagus and the gastric tube.
GB Cadière, J Himpens
Surgical intervention
12 years ago
377 views
23 likes
1 comment
11:57
Minimally invasive esophagectomy in a patient in a prone position
This video demonstrates a total esophagectomy for a cancer of distal esophagus. The surgeon starts with right thoracoscopy with the patient in a prone position. The esophagus and adjoining lymphatics are mobilized and separated from the adjoining structures. The azygos vein is divided. Once full mobilization of the thoracic esophagus is achieved, a chest tube is inserted and the trocars are removed and the patient is put in a supine position. The surgeon now performs laparoscopic dissection of the left gastric vessels and lymphatics. A gastric tube is created and duodenum is kocherized. After full mobilization of the gastroesophageal junction and the tumor at the hiatus, a cervicotomy is carried out and the esophagus is pulled out through the cervical incision. The esophagus is resected and a side-to-side stapled anastomosis is made between the cervical esophagus and the gastric tube.
Totally laparoscopic Collis-Nissen operation for shortened esophagus
This video demonstrates a laparoscopic Collis-Nissen in a patient with a large hiatal hernia and shortened esophagus. The surgeon demonstrates the resection of the hernia sac and extensive mobilization of the esophagus through the hiatus to achieve an adequate length of intra-abdominal esophagus. Despite this, the esophagus was too short and the surgeon performs a Collis gastroplasty using the wedge gastrectomy technique over a 52 French bougie. A 2.5cm of tension-free intra-abdominal esophagus is achieved. The hiatus is repaired with interrupted non-absorbable sutures inserted posteriorly as well as an additional suture inserted anteriorly to the esophagus. The posterior repair is reinforced with use of a porcine biological mesh. A standard Nissen fundoplication is performed.
B Dallemagne
Surgical intervention
12 years ago
1525 views
2 likes
0 comments
08:54
Totally laparoscopic Collis-Nissen operation for shortened esophagus
This video demonstrates a laparoscopic Collis-Nissen in a patient with a large hiatal hernia and shortened esophagus. The surgeon demonstrates the resection of the hernia sac and extensive mobilization of the esophagus through the hiatus to achieve an adequate length of intra-abdominal esophagus. Despite this, the esophagus was too short and the surgeon performs a Collis gastroplasty using the wedge gastrectomy technique over a 52 French bougie. A 2.5cm of tension-free intra-abdominal esophagus is achieved. The hiatus is repaired with interrupted non-absorbable sutures inserted posteriorly as well as an additional suture inserted anteriorly to the esophagus. The posterior repair is reinforced with use of a porcine biological mesh. A standard Nissen fundoplication is performed.