Modern esophagectomy includes the esophageal extirpation with immediate reconstruction of the gastrointestinal (GI) continuity via posterior mediastinal route. In the majority of cases tubularized stomach is chosen as the conduit of choice. Other conduits, such as colon or small bowel can be used for these purposes as well. In rare circumstances use of the alternative route for the conduit placement is required. Authors describe the technique of robotic substernal esophageal bypass and reconstruction of the esophageal continuity.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6538941 | PMC |
http://dx.doi.org/10.21037/jovs.2019.04.02 | DOI Listing |
Innovations (Phila)
September 2024
Department of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
The retrotracheal form is a rare variant of retrosternal goitre. The incidence is low, representing approximately 4% of all retrosternal goitres. The traditional approach to the treatment of this type of pathology is the cervical approach combined with high thoracotomy.
View Article and Find Full Text PDFBMJ Case Rep
October 2022
Department of Otolaryngology-Head and Neck Surgery, Robert Wood Johnson University Hospital, New Brunswick, New Jersey, USA.
Several genetic and environmental factors contribute to the development of multinodular goitre. A transcervical surgical resection is recommended for larger goitres, though a minority of cases may require sternotomy or thoracotomy. We present a case of a posterior substernal goitre that was resected with combined transcervical and robotically assisted thoracic approaches.
View Article and Find Full Text PDFThorac Cancer
June 2022
Department of Oncology, Immunology and Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Growing intrathoracic goiters may compress surrounding organs and deteriorate the cardiopulmonary function. Treating such cases requires carefully considering how to maintain oxygenation and resect the tumor with minimal invasiveness without complications. We herein report a surgically resected case of a large intrathoracic goiter-compressed trachea extending from the right lower pole of the thyroid gland to the carina.
View Article and Find Full Text PDFBMJ Case Rep
April 2022
Cardiothoracic Surgery, Cooper University Health Care, Camden, New Jersey, USA.
Myasthenia gravis (MG) is the most common autoimmune disorder affecting the neuromuscular junction in the USA. It is not uncommon for these patients to have concomitant autoimmune diseases including autoimmune thyroid disease. We describe here our method of performing a reproducible robotically assisted one-stage thymectomy and thyroidectomy.
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