STEP 3Esophageal dissection and mediastinal lymphadenectomy

The ipsilateral mediastinal pleura, which remains in contact with the esophagus, is incised through the anterior thoracic incision. The arch of the azygos vein is incised, enabling the dissection of the cervicothoracic esophagus. To expand the mediastinal lymphadenectomy, this incision is used to dissect the intercostal veins. The trunk of the azygos vein is ligated at the supradiaphragmatic level and associated thoracic duct excision is required by the lymphatic involvement.

During esophageal dissection at the high level of the cervical region, a tracheobronchial intubation with a Carlens tube can be used to facilitate access to the esophagus, occluding the right bronchial tube (see Chapter "Abdominothoracic Esophagectomy" STEP 1-3).

Was this article helpful?

0 0
How to Stay Young

How to Stay Young

For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.

Get My Free Ebook

Post a comment