Minimally Invasive Esophageal Stripping for Early Esophageal Cancer
Daniel K. Tong*, Simon Law, Fion S. Chan, Kam H. Wong
Surgery, The University of Hong Kong, Hong Kong, Hong Kong
A 48-year-old lady had an early, mid-third diffuse esophageal squamous cell carcinoma. The stomach was mobilized laparoscopically. The esophago-gastric junction was transected using a linear stapler. The cervical esophagus was divided. A varicose vein stripper was inserted via the proximal esophageal stump and the olive tied around it. The tip of the stripper was brought through the transected lower esophagus. The esophagus was stripped into the peritoneal cavity, and brought outside the abdomen via a mini-right subcostal wound. A hand-sewn cervical anastomosis was fashioned after bringing the stomach to the neck orthotopically. Final pathology showed a pT1a cancer.
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