Transthoracic esophagectomy with radical mediastinal and abdominal lymph node dissection and cervical esophagogastrostomy for esophageal carcinoma  Scott.

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Transthoracic esophagectomy with radical mediastinal and abdominal lymph node dissection and cervical esophagogastrostomy for esophageal carcinoma  Scott J Swanson, MD, Hasan F Batirel, MD, Raphael Bueno, MD, Michael T Jaklitsch, MD, Jeanne M Lukanich, MD, Elizabeth Allred, MS, Steven J Mentzer, MD, David J Sugarbaker, MD  The Annals of Thoracic Surgery  Volume 72, Issue 6, Pages 1918-1925 (December 2001) DOI: 10.1016/S0003-4975(01)03203-9

Fig 1 The knotted Penrose drain is pushed up through the thoracic inlet and left to lie beneath the omohyoid muscle on the left side of the neck. (Reprinted with permission of the McGraw-Hill Companies from Swanson SJ, Sugarbaker DJ. The three-hole esophagectomy: The Brigham and Women’s Hospital approach (Modified McKeown Technique). Chest Surg Clin North Am 2000;10:531–52 [6]). The Annals of Thoracic Surgery 2001 72, 1918-1925DOI: (10.1016/S0003-4975(01)03203-9)

Fig 2 The gastric conduit is atraumatically pulled through the posterior mediastinum into the cervical wound. (Reprinted with permission of the McGraw-Hill Companies from Swanson SJ, Sugarbaker DJ. The three-hole esophagectomy: The Brigham and Women’s Hospital approach (Modified McKeown Technique). Chest Surg Clin North Am 2000;10:531–52 [6].) The Annals of Thoracic Surgery 2001 72, 1918-1925DOI: (10.1016/S0003-4975(01)03203-9)

Fig 3 Overall survival after transthoracic esophagectomy with cervical esophagogastric anastomosis (n = 238). The upper and lower curves are the confidence intervals. Stage 0-tumor in situ (n = 5) and stage IV (n = 6) were excluded. One patient could not be staged. The Annals of Thoracic Surgery 2001 72, 1918-1925DOI: (10.1016/S0003-4975(01)03203-9)

Fig 4 Survival by postsurgical pathologic stage (n = 238). Stage 0-tumor in situ (n = 5) and stage IV (n = 6) were excluded. One patient could not be staged. Survival at 3 years in patients with stage 0 (complete response) or stage I was significantly better when compared with patients with stage III (p = 0.001, p = 0.002, respectively). The Annals of Thoracic Surgery 2001 72, 1918-1925DOI: (10.1016/S0003-4975(01)03203-9)