Procedure Type
SurgicalProcedure Duration
5 Hours 30 minHospital Stay (Days)
6-7 DaysTranshiatal esophagectomy is a surgical procedure designed to remove all or part of the esophagus, typically performed to treat esophageal cancer or severe non-cancerous conditions like achalasia or strictures. Unlike other esophagectomy techniques, the transhiatal approach avoids opening the chest, focusing instead on access through the neck and abdomen. This minimally invasive method reduces recovery time and potential complications, offering an effective treatment option for eligible patients.
This procedure is primarily indicated for early-stage esophageal cancer or benign esophageal conditions unresponsive to conservative treatments. It is suitable for patients who are not candidates for transthoracic approaches due to medical conditions or those requiring a less invasive option. The goal is to remove diseased tissue and restore normal swallowing and digestion functions.
Before undergoing a transhiatal esophagectomy, patients must undergo comprehensive evaluations, including imaging studies like CT scans, endoscopy, and possibly a PET scan to assess the extent of disease. Cardiac and pulmonary function tests are crucial to ensure the patient can safely undergo anesthesia and surgery. Nutritional optimization and cessation of smoking or alcohol use are essential for enhancing recovery outcomes.
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After surgery, patients are closely monitored in a critical care setting for a few days to manage pain, ensure proper healing, and prevent complications. A temporary feeding tube may be used to maintain nutrition while the new esophageal conduit heals. Gradual reintroduction of oral feeding typically begins within a week, with dietary adjustments tailored to the patient's needs.
The transhiatal approach avoids the risks associated with opening the chest, such as lung complications or prolonged recovery. It allows for quicker mobilization, reduced postoperative pain, and shorter hospital stays compared to transthoracic methods. Additionally, it provides a viable treatment option for patients with reduced pulmonary or cardiac reserve.
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