By Shailesh Puntambekar, Miguel Cuesta
Atlas of Minimally Invasive surgical procedure in Esophageal Carcinoma presents either an easy-to-follow procedural handbook at the laparoscopic thoughts for esophageal carcinoma and a accomplished survey of the sector of surgical procedure on esophageal carcinoma. the next approaches are offered, utilizing specified anatomical photos and step by step descriptions:Laparoscopic Trans-hiatal esophagectomy, Laparoscopic Trans-hiatal Resection for Distal and Gastro-Esophageal Junction melanoma: The Operative method, Trans-thoracic esophagectomy with 2 box nodal dissection, Trans-thoracic esophagectomy within the services 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 movies of those tactics at the Springer Extras site extra complements realizing of the surgical steps concerned. This booklet additionally encompasses a description of anesthesia ideas, a consultant to using staplers in laparoscopic surgical procedure, a comparability of the power resources on hand for laparoscopic surgical procedure and a glance ahead to the expanding occurrence of robot surgical procedure for those strategies. A complete and authoritative paintings on minimally invasive surgical procedure in esophageal carcinoma, this publication will end up crucial examining for oncosurgeons, thoracoscopic surgeons and laparoscopic surgeons who might be acting those procedures.
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Extra info for Atlas of Minimally Invasive Surgery in Esophageal Carcinoma
The left main bronchus crosses anterior to the descending aorta. Utmost care is taken not to injure the posterior wall of the left bronchus while lifting esophagus from the arch of the aorta. The left hilar nodes are exposed at this level and can be dissected from the bronchus at this stage or at a later stage when the subcarinal nodes are removed. Caudally, the dissection is continued toward the hiatus. At this stage, the opposite pleura is identiﬁed by careful blunt dissection using the suction canula.
30 Atlas of Minimally Invasive Surgery in Esophageal Carcinoma Fig. 24 Intracorporeal stapler application Procedure The closed stapler is introduced through a 12-mm port. The release knob at the end is pressed to open the jaws. The stapler is rotated and the articulating (ﬂexion) knob adjusted to achieve the necessary angulations. The tissue to be stapled is held and the jaws closed by pressing only the jaw-closing handle (Fig. 25). The tissue is compressed for at least 15 s, and the stapler is then ﬁred by pressing the black handle; this simultaneously staples and cuts the tissue.
18). Fig. 18 Firing the instrument 8. Open the instrument by turning the adjusting knob counterclockwise, as indicated on the end of the knob. For easy removal, open the instrument only one-half to threefourths revolutions (Fig. 19). Fig. 19 Turning knob counterclockwise 28 Atlas of Minimally Invasive Surgery in Esophageal Carcinoma 9. To assure the anvil is free from tissue, rotate the instrument 90° in both directions. To withdraw the open instrument, gently apply rearward traction while simultaneously rotating (Fig.