By Shailesh Puntambekar, Miguel Cuesta
Atlas of Minimally Invasive surgical procedure in Esophageal Carcinoma presents either an easy-to-follow procedural guide at the laparoscopic concepts for esophageal carcinoma and a accomplished survey of the sector of surgical procedure on esophageal carcinoma. the subsequent systems are provided, utilizing precise anatomical photos and step by step descriptions:Laparoscopic Trans-hiatal esophagectomy, Laparoscopic Trans-hiatal Resection for Distal and Gastro-Esophageal Junction melanoma: The Operative process, Trans-thoracic esophagectomy with 2 box nodal dissection, Trans-thoracic esophagectomy within the providers place. during the booklet, the authors emphasise the similarities of the foundations and steps among open and laparoscopic surgical procedure, which considerably simplifies the conversion from one perform to the opposite. The accompanying motion pictures of those strategies at the Springer Extras site extra complements realizing of the surgical steps concerned. This booklet additionally incorporates a description of anesthesia thoughts, a advisor to using staplers in laparoscopic surgical procedure, a comparability of the strength resources to be had for laparoscopic surgical procedure and a glance ahead to the expanding incidence of robot surgical procedure for those techniques. A finished and authoritative paintings on minimally invasive surgical procedure in esophageal carcinoma, this ebook will turn out crucial interpreting for oncosurgeons, thoracoscopic surgeons and laparoscopic surgeons who should be appearing those procedures.
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Extra info for Atlas of Minimally Invasive Surgery in Esophageal Carcinoma
The vagus is held up with the left hand and the ﬁbro-fatty tissue and the lymph tissue is swept toward the esophagus. Thus all the paraesophageal nodes are removed. Preferably a bipolar instrument is used here, since it is better at coagulating the small blood vessels going to the lymph nodes. Further upward traction on the esophagus exposes the direct branches of the aorta. These are usually two or three in number. They are clipped with vascular clips (Hemlock plastic locking clips) and cut. The esophagus is separated upward (anteriorly) and cranially and the left inferior pulmonary vein is identiﬁed.
9); this is why they are also known as circular staplers. As the instrument is ﬁred, the staples are driven through the tissue; simultaneously, a circular knife cuts a uniform stoma in the joined tissue. Intraluminal staplers (ILS) are used to create anastomoses between hollow viscera. The head of the ILS (Fig. 10) is inserted into the lumina of the organs to be joined through an enterotomy or, for low anterior resections, through the dilated anus. ILSs are available with various head diameters, permitting matching of instrument size to organ lumen.
The lymphovascular tissues along the azygous vein are cleared at this stage. The azygous vein is freed along its entire length. The bronchial artery is posterior to the azygous vein and can be seen by retracting the vein downward. We usually preserve the azygous vein and the azygous is dissected completely by creating a plane between the esophagus and the vein. This allows for a complete separation of the vein. The vein is then retracted slightly and then the nodes along with the ﬁbro-fatty tissue are removed.