Cervical Esophagostomy

Published on 27/02/2015 by admin

Filed under Pediatrics

Last modified 27/02/2015

Print this page

rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star
Your rating: none, Average: 0 (0 votes)

This article have been viewed 3399 times

CHAPTER 6 Cervical Esophagostomy

Richard Ricketts

Step 1: Surgical Anatomy

♦ The approach is usually through the left side.
♦ Note the relationship of the trachea, esophagus, recurrent laryngeal nerve, and the thoracic duct (Fig. 6-1).
image

Figure 6-1

Step 2: Preoperative Considerations

♦ Use the left side of the neck for future esophageal replacement because this procedure will be done through the left chest, the mediastinum, or in the substernal position.
♦ Use the right side of the neck for the Kimura esophageal lengthening procedure (Kimura and Soper, 1994).
♦ Preoperative prophylactic antibiotics should be given.

Step 3: Operative Steps

Anesthetic Induction

♦ Endotracheal intubation and relaxation are used.
♦ The anesthesiologist should pass a blunt tipped bougie down the esophagus; this will aid in identifying the esophagus.

Positioning

♦ Place the patient supine with a roll under the shoulders to extend the neck.
♦ Turn the head slightly to the contralateral (usually right) side.

Incision

Buy Membership for Pediatrics Category to continue reading. Learn more here

Related posts:

Extracorporeal Membrane Oxygenation Cannulation Imperforate Anus Cryptorchidism Esophageal Atresia with Tracheoesophageal Fistula Sacrococcygeal Teratoma Surgical Treatment of Chest Wall Deformities: Open Repair