Edward Lewis is scheduled for a transthoracic esophagectomy with lymph node dissection for cancer of the esophagus.Which incisional approach is indicated for this procedure?

Question

Quizplus · Accepted Answer

Transthoracic esophagectomy is indicated for disease of the middle third of the esophagus and high-grade dysplasia in Barrett's esophagus.This approach permits complete lymph node dissection under direct vision and combines a left-sided thoracoabdominal incision or separate right posterior lateral thoracotomy and midline abdominal incision.The latter describes the traditional Ivor Lewis approach.Another variation,sometimes called the "three-hole esophagectomy," combines an approach for proximal tumors.The single-incision thoracoabdominal incision provides the best exposure for low gastroesophageal junction tumors and is indicated for patients with cardiac and pulmonary disease.

Edward Lewis Is Scheduled for a Transthoracic Esophagectomy with Lymph