By Shailesh Puntambekar, Miguel Cuesta
Atlas of Minimally Invasive surgical procedure in Esophageal Carcinoma presents either an easy-to-follow procedural guide at the laparoscopic options for esophageal carcinoma and a complete survey of the sphere of surgical procedure on esophageal carcinoma. the subsequent strategies are provided, utilizing designated anatomical photos and step by step descriptions:Laparoscopic Trans-hiatal esophagectomy, Laparoscopic Trans-hiatal Resection for Distal and Gastro-Esophageal Junction melanoma: The Operative strategy, Trans-thoracic esophagectomy with 2 box nodal dissection, Trans-thoracic esophagectomy within the services place. in the course of the booklet, 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 methods at the Springer Extras web site additional complements figuring out of the surgical steps concerned. This e-book additionally encompasses a description of anesthesia ideas, a consultant to using staplers in laparoscopic surgical procedure, a comparability of the power resources to be had for laparoscopic surgical procedure and a glance ahead to the expanding occurrence of robot surgical procedure for those techniques. A entire and authoritative paintings on minimally invasive surgical procedure in esophageal carcinoma, this booklet will turn out crucial examining for oncosurgeons, thoracoscopic surgeons and laparoscopic surgeons who could be acting those procedures.
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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. This ensues less blood loss. 19a-f). 19 (Continued) 18. The left hand gives upward traction to the esophagus.
The ﬂexible or articulating linear staplers are another variation. They have ﬂexible or articulating components between the body and jaws that allow positioning versatility. This provides better access to otherwise difﬁcult operative sites. Linear Stapler Applications Linear staplers are commonly used to close internal organs prior to transaction, and to close the common opening or enterotomy after the creation of an anastomosis with a linear cutter or an ILA. Since the linear cutter transects as it staples, this device is commonly used to transect organs, and to create side-to-side and functional end-to-end anastomosis.
PROXIMATE® ILS Curved Intraluminal Stapler Fig. 10 Curved intraluminal stapler (a) Indications The PROXIMATE ILS curved intraluminal staplers have applications throughout the alimentary tract for end-to-end, end-to-side, and side-to-side anastomoses. 5 mm or where the internal diameter of the structure is less than 21 mm. Staplers in Gastro-Esophageal Cancer Surgery 25 (c) Using the ILS 1. To remove the spacer tab, open the instrument by turning the adjusting knob counterclockwise two revolutions (Fig.
Atlas of Minimally Invasive Surgery in Esophageal Carcinoma by Shailesh Puntambekar, Miguel Cuesta