STEP 4Endodissection mediastinoscopic posterior view

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.

Infracarinal

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How to Stay Young

How to Stay Young

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