Eversion stripping of the esophagus with intraesophageal insufflation—A case report

Kimura, Masahiro; Nagasaki, Takaya; Kuwabara, Yoshiyuki; Tanaka, Hironori; Hato, Motoki; Taniwaki, Satoshi; Mitsui, Akira; Shibata, Yasuyuki; Mizuno, Kotaro; Mori, Yoichiro; Ochi, Nobuo; Ueno, Shuhei; Eguchi, Yuki

doi:10.1016/j.ijscr.2017.05.013

Cited by 1 publication

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“… 18 In a recent case report, esophagus was stripped due to the adhesion in the thoracic cavity in patient with esophageal carcinoma of squamous cell type. 19 …”

Section: Discussionmentioning

confidence: 99%

“…18 In a recent case report, esophagus was stripped due to the adhesion in the thoracic cavity in patient with esophageal carcinoma of squamous cell type. 19 Rajan et al 20 described the use of vein stripper to extract esophagus, eversion stripping, the esophagus, at the same time excising the tumor from the larynx, pharynx, and esophagus, with a significant reduction in morbidity compared with the Akiyama et al study. 21 We have successfully exploited nasogastric tube for extraction of the esophagus with a comparable reduction in morbidity.…”

Section: Discussionmentioning

confidence: 99%

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A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

2022

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Recent studies have suggested that morbidity and mortality rate of transhiatal esophagectomy is comparable to that of thoracotomy, calling the need for the modifications in the surgical procedures. Our methodology includes stripping of esophagus by nasogastric tube to reduce the manipulation of thoracic cavity and associated complications. We also present the comparison between the stripping and classic (Orringer's technique) esophagectomy.Patients presenting esophageal carcinoma from 2015 to 2017 were the target of this study. Patients undergoing esophagectomy were randomized to have classic or stripping esophagectomy. Operating time, manipulation time, blood losses during the surgery, duration of hospitalization, volume intake, hypotension time, arrhythmia, and transfusion were the recorded parameters. Complications, such as anastomotic leak, cardiac effects, and morbidity, were also studied. Seventy patients were referred for transhiatal esophagectomy for esophageal carcinoma at the Al Zahra Hospital. Mean ages of patients in the stripping and Orringer group were 64.00 ± 10.57 and 57.42 ± 12.20 years, respectively. Manipulation time, operating time, blood loss during the surgery, and transfusion were statistically significant variables between the two groups. Although volume intake and duration of hospitalization were not significantly different parameters, however, betterment in the outcomes was evident. Substantial decrease in overall complications via stripping method was obtained, hence can be suggested as an effective alternative, to remove the need of thoracotomy, for transhiatal esophagectomy.

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“… 18 In a recent case report, esophagus was stripped due to the adhesion in the thoracic cavity in patient with esophageal carcinoma of squamous cell type. 19 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

2022

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Eversion stripping of the esophagus with intraesophageal insufflation—A case report

Abstract: HighlightsThe indications for stripping of the esophagus have decreased due to the widespread of endoscopic mucosal resection and thoracoscopic surgery.Even if indications for this procedure have decreased, this is an important option in the armamentarium of the esophageal surgeon.

Cited by 1 publication

References 6 publications

A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

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