The Journal of Thoracic and Cardiovascular Surgery, Vol 102, 43-49, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Endothoracic endoesophageal pull-through operation. A new approach to cancers of the esophagus and proximal stomach
F Saidi, A Abbassi, MB Shadmehr and G Khoshnevis-Asl
Department of Thoracic Surgery, Modarress Hospital, School of Medicine, Beheshti University of Medical Sciences, Tehran, Iran.
Many thoracic surgeons have expressed concern about the complications
inherent in transhiatal esophagectomy without thoracotomy. The technique of
endothoracic endoesophageal pull-through uses a mucosal coring of normal
esophagus beyond the tumor and leaves a muscular tube through which the
substitute organ is passed. Mediastinal hemorrhage, tracheal injury, and
chylothorax are eliminated.