{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:20:42Z","timestamp":1777447242143,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laparoendoscopic transhiatal esophagectomy (THE) provides advantages over traditional THE by not only avoiding laparotomy but by also allowing more precise esophageal mobilization. Occasionally, the length of the gastric conduit is insufficient to allow delivery into the neck after laparoscopic mobilization and requires laparotomy to complete the procedure. We hypothesize that the need for laparotomy will correlate with the measurement of mediastinal height (distance from thoracic vertebrae T1-T12) on chest CT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records of all patients who underwent attempted laparoendoscopic-assisted THE at a tertiary referral center between March 1, 2003 and January 31, 2019 were reviewed. Patients\u2019 mediastinal height was measured using computed tomography (CT) imaging of the chest by investigators and analyzed for correlation between mediastinal height and successful completion of a totally laparoendoscopic procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 21 cases met inclusion criteria: 9 successful laparoendoscopic THE procedures and 12 failed laparoendoscopic THE procedures (those requiring addition of a mini-laparotomy or thoracotomy). The mean mediastinal length for successful laparoendoscopic surgery was 23.5 cm, whereas the mean mediastinal length for failed laparoscopic surgeries was 24.8 cm (P = .03). Patient\u2019s overall height was not found to correlate with the need for conversion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Shorter mediastinal length is associated with successful laparoendoscopic or laparoscopic THE. This information is readily available to clinicians from routine preoperative staging studies (chest CT) and may be used to potentially predict the success rate of a totally laparoendoscopic approach and aid in patient selection. Further prospective evaluation of these findings is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134820942167","type":"journal-article","created":{"date-parts":[[2020,8,6]],"date-time":"2020-08-06T10:01:12Z","timestamp":1596708072000},"page":"1032-1035","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predicting Successful Laparoendoscopic Transhiatal Esophagectomy (THE) by Mediastinal Height Measurement"],"prefix":"10.1177","volume":"86","author":[{"given":"Shane Wylie","family":"Monnett","sequence":"first","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathon Yu-Lin","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey Daniel","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron Martin","family":"Harmon","sequence":"additional","affiliation":[{"name":"School of Medicine, West Virginia University, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob Ian","family":"Shapiro","sequence":"additional","affiliation":[{"name":"School of Medicine, West Virginia University, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa Christine","family":"Calderwood","sequence":"additional","affiliation":[{"name":"Department of Surgical Research, Charleston Area Medical Center Health Education and Research Institute, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Surgical Research, Charleston Area Medical Center Health Education and Research Institute, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Alejandra","family":"Martinez","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Edward Henry","family":"Tiley","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan Kelly","family":"Richmond","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse Allen","family":"Clanton","sequence":"additional","affiliation":[{"name":"Department of Surgery, West Virginia University, Charleston Division, Charleston, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,8,6]]},"reference":[{"key":"bibr1-0003134820942167","volume-title":"Cancer Facts & Figures 2019","author":"American Cancer Society","year":"2019"},{"key":"bibr2-0003134820942167","doi-asserted-by":"publisher","DOI":"10.4321\/S1130-01082012000400005"},{"key":"bibr3-0003134820942167","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2003.11.007"},{"key":"bibr4-0003134820942167","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0418-9"},{"key":"bibr5-0003134820942167","doi-asserted-by":"publisher","DOI":"10.21037\/jovs.2016.09.01"},{"key":"bibr6-0003134820942167","doi-asserted-by":"publisher","DOI":"10.1159\/000487011"},{"key":"bibr7-0003134820942167","doi-asserted-by":"publisher","DOI":"10.21037\/jgo.2018.08.15"},{"key":"bibr8-0003134820942167","doi-asserted-by":"publisher","DOI":"10.5230\/jgc.2019.19.e1"},{"key":"bibr9-0003134820942167","unstructured":"Bosworth T. Collis gastroplasty in short esophagus reduces recurrence of hiatal hernia. General Surgery News. Published 2019. Accessed September 15, 2019. https:\/\/www.generalsurgerynews.com\/In-the-News\/Article\/05-19\/Collis-Gastroplasty-in-Short-Esophagus-Reduces-Recurrence-Of-Hiatal-Hernia\/54963"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820942167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003134820942167","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003134820942167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:33:42Z","timestamp":1777379622000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003134820942167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1177\/0003134820942167"],"URL":"https:\/\/doi.org\/10.1177\/0003134820942167","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}