Blunt dissection of the esophagus and cervical esophagogastrostomy via a posterior mediastinal tunnel without thoracotomy was successfully performed in a patient with esophageal stenosis secondary to scleroderma. The larynx was, of course, preserved. This type of esophageal reconstruction is believed to be an effective and simple means of providing palliation in this difficult clinical situation, and is one of the good indications of utilizing blunt dissection of the thoracic esophagus.
Akiyama H, Kogure T, Itai Y. Esophageal Reconstruction for Stenosis Due to Diffuse SclerodermaUtilizing Blunt Dissection of Esophagus. Arch Surg. 1973;107(3):470-472. doi:10.1001/archsurg.1973.01350210100027