Vats Esophagectomy Consultant

• November 08, 2022
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The abdominal cavity and the right thoracic cavity are directly viewed with a tiny, 10 mm, video camera that is placed through one of the small incisions. Minimally invasive esophagectomy is a particularly good option (along with transhiatal esophagectomy, which also avoids thoracotomy), for patients with earlier stage tumors, as well as for elderly patients and patients with moderate lung disease who have a somewhat higher risk for complications. The advantage of a minimally invasive approach is the ability to carefully assess the peritoneal cavity prior to resection, with minimal trauma to the body. The author will spend a few minutes examining the liver, omentum, and abdominal wall prior to resection. Any suspicious lesions are biopsied and sent for frozen section evaluation. This prevents futile resections in those with unsuspected metastatic disease.

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