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SALVAGE ROBOTIC ESOPHAGECTOMY: TIPS AND TRICKS
Flavio R. Takeda^*, Rubens A. Sallum, Ulysses Ribeiro, Ivan Cecconello
Department of Gastroenterology, Digestive Surgery Division, University of Sao Paulo School of Medicine, Sao Paulo, Brazil

Salvage esophagectomy after definitive chemoradiotherapy treatment has traditionally been recognized as a feasible option. Robotic esophagectomy has been considered as alternative to minimize post operative complications. The thoracic field was performed robotically. This VIDEO demonstraded middle-third squamous cell carcinoma (cT3N2) after definitive treatment with 5040Gy+5-FU + paclitaxel. We particularly show the relationship to left broncqueal side and the effects of scars in mediastinum after the high dose of radiotherapy. We illustrated surgical aspect, mediastinal dissection, lysis of the intense adhesion, description of the anatomical aspects and surgical strategy.

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