Abdominal and right thoracic esophagectomy

Griffin, SM; Wahed, S

doi:10.1201/9781315113777

Abdominal and right thoracic esophagectomy

Lookup NU author(s): Professor Michael Griffin, Shajahan Wahed

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Abstract

© 2018 by Taylor & Francis Group, LLC. Before 1946, the only widely practiced approach to the thoracic esophagus had been described by Sweet using a left-sided thoracotomy. Although this operation permitted relatively good access to the lower third of the esophagus, cancers of the middle and upper third of the esophagus were dissected with greater difficulty because of the overlying aortic arch. In 1946, Ivor Lewis described the abdominal and right thoracic approach for subtotal esophagectomy. This operation was adopted by Tanner in the United Kingdom (Lewis-Tanner operation) and by Santy in France (LewisSanty operation). This has remained the favored operation for an abdominal and right thoracic subtotal esophagectomy.