Atlas of Esophageal Surgery by P. Marco Fisichella, Marco G. Patti

By P. Marco Fisichella, Marco G. Patti

​This Atlas specializes in the outline of techniques and surgical innovations used to regard the complete spectrum of esophageal ailments. Surgical “pearls” and easy methods to opt for and practice the right kind operation are incorporated and established either on evidence-based information and the adventure of the Editors.

Step-by-step descriptions of 14 operative methods in esophageal surgical procedure are supplied. each one bankruptcy describes the present symptoms, perioperative administration thoughts, and a close operative technique with proper technical issues.

The description of techniques and surgical concepts utilized in esophageal surgical procedure are defined in an simply comprehensible demeanour for the categorical audience.

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4. Hewson EG, Ott DJ, Dalton CB, Chen YM, Wu WC, Richter JE. Manometry and radiology. Complementary studies in the assessment of esophageal motility disorders. Gastroenterology. 1990;98:626–32. 5. Iyer RB, Silverman PM, Tamm EP, Dunnington JS, DuBrow RA. Diagnosis, staging, and follow-up of esophageal cancer. AJR Am J Roentgenol. 2003;181:785–93. 21 6. Jobe BA, Richter JE, Hoppo T, Peters JH, Bell R, Dengler WC, et al. Preoperative diagnostic workup before antireflux surgery: an evidence and experience-based consensus of the Esophageal Diagnostic Advisory Panel.

51 a b Fig. 16 Interrupted silk sutures are used to close the diaphragmatic crura. The first stitch should be placed just above the junction of the two pillars Fig. 17 (a) and (b), Additional stitches are placed 1 cm apart.

It has been suggested that a combination of EUS and CT–positron emission tomography (PET) improves preoperative staging of esophageal cancer [11]. Even with high-frequency ultrasound probes, however, it can be difficult to distinguish between lesions confined to the mucosa and cancer invading the submucosa [12]. Another weak point is reproducibility and validity. Although EUS is often performed as part of clinical practice for all neoplastic lesions, it can be argued that EUS is not necessary in patients with very superficial cancers.

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