A-37/T-37 Dragonfly in Action - download pdf or read online

By Terry Love

ISBN-10: 089747239X

ISBN-13: 9780897472395

A-37/T-37 Dragonfly in motion - plane No. 114 [Dec 01, 1990] Terry Love; Joe Sewell and Don Greer ... 089747239X

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Skandalakis JE, Ellis H. Embryologic and anatomic basis of esophageal surgery. Surg Clin North Am 2000;80:85. Skinner DB, Little AG, Ferson MK, Soriano A. Selection of operation for esophageal cancer based on staging. Ann Surg 1986;204:391. Stark SP, Romberg MS, Pierce GE, et al. Transhiatal versus transthoracic esophagectomy for adenocarcinoma of the distal esophagus and cardia. Am J Surg 1996;172: 478. Sugarbaker DJ, Jaklitsch MT, Liptay MJ. Thoracoscopic staging and surgical therapy for esophageal cancer.

2–17 Operative Technique 23 Fig. 2–18 Advancement of Stomach into Right Chest Divide the right crux of the diaphragm transversely using electrocautery (Fig. Advance the stomach into the right hemithorax, which should again be exposed by expanding the Finochietto retractor. There must be no constriction of the veins in the vascular pedicle of the stomach at the hiatus. Suture the wall of stomach to the margins of the hiatus by means of interrupted 3-0 silk or Tevdek sutures spaced 2 cm apart to avoid postoperative herniation of bowel into the chest.

In a previous step the esophageal lumen proximal to the tumor was occluded with a row of staples Fig. 3–18 Operative Technique Fig. 3–19a Fig. 3–19b 47 48 Esophagogastrectomy: Left Thoracoabdominal Approach Fig. 3–20 (Fig. 3–11). If the esophagus has not yet been divided, transect it now 8–10 cm proximal to the tumor and remove the specimen (Fig. 3–20). Submit the proximal and distal margins of the specimen to frozen section examination. Clean the lumen of the proximal esophagus with a suction device (Fig.

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A-37/T-37 Dragonfly in Action by Terry Love


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