Download Atlas of Minimally Invasive Surgery in Esophageal Carcinoma by Shailesh Puntambekar, Miguel Cuesta PDF

By Shailesh Puntambekar, Miguel Cuesta

Atlas of Minimally Invasive surgical procedure in Esophageal Carcinoma offers either an easy-to-follow procedural guide at the laparoscopic ideas for esophageal carcinoma and a complete survey of the sphere of surgical procedure on esophageal carcinoma. the subsequent methods are provided, utilizing distinctive anatomical pictures and step by step descriptions:Laparoscopic Trans-hiatal esophagectomy, Laparoscopic Trans-hiatal Resection for Distal and Gastro-Esophageal Junction melanoma: The Operative procedure, Trans-thoracic esophagectomy with 2 box nodal dissection, Trans-thoracic esophagectomy within the companies place. during the e-book, 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 tactics at the Springer Extras site additional complements figuring out of the surgical steps concerned. This ebook additionally encompasses a description of anesthesia options, a consultant to using staplers in laparoscopic surgical procedure, a comparability of the strength resources on hand for laparoscopic surgical procedure and a glance ahead to the expanding occurrence of robot surgical procedure for those systems. A complete and authoritative paintings on minimally invasive surgical procedure in esophageal carcinoma, this publication will end up crucial analyzing for oncosurgeons, thoracoscopic surgeons and laparoscopic surgeons who could be appearing those procedures.

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The position of the primary port is marked at the angle of scapula (6th or 7th intercostal space) in the posterior axially line. 1. Fig. 1 Patient, surgeon and monitor positions The surgeon stands on the right side, facing the patient’s back. Single-lung ventilation through a double lumen endotracheal tube is initiated by occluding ventilation to the right lung. The camera assistant stands to the left of the operating surgeon. The assistant surgeon stands on the left side of the patient. (b) Port Position 1.

The vein is then retracted slightly and then the nodes along with the fibro-fatty tissue are removed. These nodes can be removed enblock, or can be removed separately. Once the azygous vein is freed or cut, the supra-azygous esophagus is pulled laterally, this exposes the plane between the posterior wall of the trachea and the esophagus. The dissection should be done with extreme caution; especially so, if the tumor involves the esophagus at this level. We recommend the use of a blunt dissector like a suction canula, since the membranous trachea is to be protected against injury.

3a–d). 4 (a, b) 2. 4a, b). 3. 5a–d). 6 (a, b) 4. 6a, b). 5. 7a–e). 7 (Continued) 6. 8a, b). 9 (a-e) 7. 9a–e). 10 (a-c) 8. 10a–c). 9. 11). 12 (a-d) 10. 12a–d). 13 (a-c) 11. 13a–c). 14 (a-f) 12. 14a–f). 15 (a-c) 13. The lateral traction on the esophagus exposes the left inferior pulmonary vein and the paraesophageal nodes. 15a–c). 16 (a-e) 14. 16a–e). 17 (a-d) 15. The next step is to cut the pleura between the esophagus and descending aorta. 17a–d). 18 (a-c) 16. 18a–c). 17. The plane of dissection always lies outside the vagus, and not between the vagus and the esophagus.

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