To improve the effect of Walker’s simple esophageal transection, Sugiura and colleagues refined the technique of esophageal transection, adding the extensive paraesophageal devascularization via abdominal and thoracic incisions. The resulting procedure has been known as the Sugiura procedure. Three different approaches will be described including a spleen-preserving procedure as well as a procedure with an abdominal approach only (i.e., without thoracotomy).

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Gastroesophageal Devascularization: Sugiura Type Procedures

  • Norihiro Kokudo,
  • Seiji Kawasaki,
  • Hector Orozco,
  • Miguel A. Mercado,
  • Markus Selzner,
  • Pierre-Alain Clavien

摘要

To improve the effect of Walker’s simple esophageal transection, Sugiura and colleagues refined the technique of esophageal transection, adding the extensive paraesophageal devascularization via abdominal and thoracic incisions. The resulting procedure has been known as the Sugiura procedure. Three different approaches will be described including a spleen-preserving procedure as well as a procedure with an abdominal approach only (i.e., without thoracotomy).