The back wall and the right surface of the esophagus usually present no major difficulties, and opening of the mediastinal pleura is not usually critical. Finally, the esophagus should be circumferentially mobilized and contact between the abdominal team and the cervical team should be made. The cervical team assists during the phase of en bloc dissection of the infracarinal esophagus by providing light and suction from above. This can be helpful especially in large tumors. Finally, the cervical esophagus is divided by a longitudinal stapler device and retracted into the abdominal cavity. The mediastinal procedure is completed by control of hemorrhage and removal of visible lymph nodes for supplementary staging information.
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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.