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Article
January 1928

EXTRAPLEURAL RESECTION OF THE ESOPHAGUS: USE OF THE SAME INCISION AS THAT EMPLOYED IN MY TRANSPLEURAL METHOD

Arch Surg. 1928;16(1):171-175. doi:10.1001/archsurg.1928.01140010175011
Abstract

In resecting the esophagus for carcinoma, a thorough exposure of the esophagus is necessary as it is not sufficient to expose merely the new growth. The resection, in order to be radical, must include a good portion of the apparently uninvolved esophagus on either end of the tumor, and more room is needed to care properly for each divided end. If my method of drawing the upper stump out through the neck and invaginating the lower stump is employed—and that method is favored by many at present—much more room is needed. The required space is amply supplied in my method of transpleural approach through the whole length of the seventh intercostal space, augmented by the division of the four ribs above that space, near the spinal column.

It is universally agreed that the method referred to affords the necessary exposure and access. There are, however, differences of opinion as to

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