1 / 7

Minimally Invasive Esophageal Surgery Benign: enucleation, myotomy, anti-reflux op.

Minimally Invasive Esophageal Surgery Benign: enucleation, myotomy, anti-reflux op. Malignancy: esophagectomy + reconstruction with stomach Thoracoscopy  Laparoscopy  Cervical EGstomy Laparoscopy  VATS intrathoracic EGstomy Indication: mid to lower esophageal cancer, C-T1 N0-1 M0.

amal
Download Presentation

Minimally Invasive Esophageal Surgery Benign: enucleation, myotomy, anti-reflux op.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Minimally Invasive Esophageal Surgery • Benign: enucleation, myotomy, anti-reflux op. • Malignancy: esophagectomy + reconstruction with stomach • Thoracoscopy  Laparoscopy  Cervical EGstomy • Laparoscopy  VATS intrathoracic EGstomy • Indication: mid to lower esophageal cancer, C-T1 N0-1 M0 Practical Aspect on VATS EsophagoGastrostomy with circular staplerHoseok I, MD, PhD, Young-Dae Kim, MD, PhD, Bong-Soo Son, MD, Sun Hee Kim, MD, Mi-ju Bae, MD, Hyo-Yeong Ahn, MDDepartment of Thoracic and Cardiovascular Surgery Pusan National University School of Medicine Dept Thorac Cardiovasc Surg PNUSM

  2. Purse-string suture  hand-sewing Anvil insertion: Short anvil holder: Skin incision Gauze Laparoscopic anvil holder Angle  Skin incision  Laparoscopic anvil holder Body insertion Short shaft  long, slender Angle  skin incision High Low Narrow ICS:  Patient’s position:  Segmental resection of rib without injury to intercostal nerve Skin incision To overcome Practical Aspect on VATS EGstomy with circular stapler Dept Thorac Cardiovasc Surg PNUSM

  3. ① 3rd, AAL ② Scapular tip ① 4th, AAL ④ 6th, MAL ② Scapular tip ③6th, AAL ③7-8th, MAL ⑥ 8th, PAL ④ 8-9th, PAL ⑤ 5mm ⑤ 1mm Skin incision Dept Thorac Cardiovasc Surg PNUSM

  4. MIES in PNUH • Hybrid, 3 • VATS + laparotomy + cervical anastomosis (2) • Laparotomy + VATS EGstomy (1) • 57/m, midthoracic eso, squamous cell ca., c-T1 N0-1 M0 • p-T1N0M0: mucosa (lamina propria), LN 0/32 • Total MIES, 2 • VATS + laparoscopy + cervical anastomosis (1) • Laparoscopy + VATS EGstomy (1) • 57/m, lower thoracic eso, squamous cell ca., c-T1 N0-1 M0 • p-T1N0M0: submucosa, LN 0/20 Dept Thorac Cardiovasc Surg PNUSM

  5. VATS EGstomy with circular stapler VIDEO Dept Thorac Cardiovasc Surg PNUSM

  6. Postoperative Dept Thorac Cardiovasc Surg PNUSM

  7. Thank you for your attention! Dept Thorac Cardiovasc Surg PNUSM

More Related