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https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006367
2022-12-15T03:39:40Z
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471:537:568:609
Transhiatal Radical En Bloc Dissection of the Low-and Mid-Mediastinum for Cardioesophageal Carcinomas
Transhiatal Radical En Bloc Dissection of the Low-and Mid-Mediastinum for Cardioesophageal Carcinomas
Suzuki, Tsutomu
52568
Nishimaki, Tadashi
52569
Kanda, Tatsuo
52570
Obinata, Ichio
52571
Nakagawa, Satoru
52572
Hatakeyama, Katsuyoshi
52573
Carcinoma of the esophagus and gastric cardia
Transhiatal dissection without thoracotomy
Dissection of the low- and mid-mediastinum
An innovative operative technique of transhiatal radical en bloc dissection of the posterior low-and mid-mediastinum is described. This technique is applied in one of the dissecting phases of surgery for carcinomas of the esophagus and gastric cardia. The key aspects of the technique are: 1) sufficient dissection of the pericardiacophrenic ligament; and 2) mediastinal pleurotomy and detachment of the pulmonary ligaments. These two key maneuvers not only warrant an excellent visualization of the posterior low- and mid-mediastinum but enable a complete en bloc dissection of these mediastinal fields under direct vision. During the past eight years from 1990 to 1997, a total of 214 patients with carcinoma of the esophagus or gastric cardia underwent the transhiatal mediastinal dissection. There were no serious complications directly attributed to the dissection except for two cases (0.9%), thus exhibiting excellent results. The procedure has comprehensive feasibility as a means for dissection of the posterior low- and mid-mediastinum in surgery for carcinomas of the esophagus and gastric cardia which necessitate dissection of these particular mediastinal compartments.
departmental bulletin paper
Niigata University School of Medicine
1998-12
application/pdf
Acta medica et biologica
4
46
153
159
Acta medica et biologica
AA00508361
05677734
https://niigata-u.repo.nii.ac.jp/record/6367/files/46(4)_153-159.pdf
eng