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Laparoscopic Transhiatal Esophagectomy with Retrograde Extraction
Wendy Jo Svetanoff^*, Shunsuke Akimoto, Sumeet Mittal
Department of Surgery, Creighton University, Omaha, NE

A subset of patients present with end stage esophageal disease, where the only option is an esophageal resection. These patients usually are in poor condition due to weight loss and/or recurrent aspiration. Transhiatal resection may be the preferred option in these situations to decrease morbidity. We present a case of a laparoscopic transhiatal resection performed with a trans-oral tube assisted inversion esophagectomy followed by a gastric pull-up. Additionally, a Foley catheter was used to dilate the mediastinal tract and pull up the gastric conduit. We believe this technique minimizes peri-operative morbidity and may be feasible in most benign conditions requiring esophageal resection.

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