©2010 Baishideng.
World J Gastroenterol. Aug 14, 2010; 16(30): 3786-3792
Published online Aug 14, 2010. doi: 10.3748/wjg.v16.i30.3786
Published online Aug 14, 2010. doi: 10.3748/wjg.v16.i30.3786
Table 3 Selecting an appropriate surgical approach
| Patient characteristics |
| Prior surgery (thoracic, abdominal, esophageal) |
| Obesity |
| Age |
| Pulmonary function |
| Other comorbid factors |
| Surgical options |
| Standard open resection |
| Transhiatal esophagectomy (2 or 3 holes) |
| Minimally invasive esophagectomy |
| Vagus sparing esophagectomy |
| Mucosal stripping esophagectomy? |
| Extent of operation |
| Extent of esophageal resection |
| Limited resection of Barrett’s segment |
| Near-total esophagectomy |
| Extent of soft tissue resection |
| Minimal |
| Standard |
| Extended |
| Extent of nodal dissection |
| Minimal |
| Standard |
| Extended 3-field |
| Surgical results |
| Accuracy of staging |
| Number of lymph nodes |
| Effects on long-term survival |
| Effects on perioperative outcomes |
- Citation: Konda VJ, Ferguson MK. Esophageal resection for high-grade dysplasia and intramucosal carcinoma: When and how? World J Gastroenterol 2010; 16(30): 3786-3792
- URL: https://www.wjgnet.com/1007-9327/full/v16/i30/3786.htm
- DOI: https://dx.doi.org/10.3748/wjg.v16.i30.3786