Esophageal Adenocarcinoma Methods and Protocols

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●● The arch of the azygos vein as it crosses the esophagus is

divided and transfixed. The right bronchial artery, which can

be quite sizable, runs just beneath the vein. It can be preserved

if desired. The superior mediastinal segment of the esophagus

can be mobilized close to its wall. The mediastinal pleura is

opened on the back of the trachea. The esophagus is freed

from the back of the trachea anteriorly and posteriorly from

the spine; it can be slung with a tape to ease later dissection.

Dissection is carried out near the apex.

Fig. 5 A Heineke-Mikulicz pyloroplasty is performed

Fig. 6 Two rib spreaders placed at right angles to each other allow good

exposure

Simon Law