{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:17:54Z","timestamp":1774621074918,"version":"3.50.1"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2007,6]]},"abstract":"<jats:p>RACIONAL: A esofagectomia laparosc\u00f3pica transhiatal para doen\u00e7a benigna ou maligna do es\u00f4fago \u00e9 cirurgia complexa, associada a altas taxas de morbimortalidade. Nas \u00faltimas d\u00e9cadas ganhou aceita\u00e7\u00e3o para o tratamento do c\u00e2ncer de es\u00f4fago e algumas doen\u00e7as benignas por evitar toracotomia, diminuindo, assim as complica\u00e7\u00f5es associadas a essa abordagem. OBJETIVO: Realizar an\u00e1lise retrospectiva em pacientes com c\u00e2ncer de es\u00f4fago submetidos a esofagectomia laparosc\u00f3pica transhiatal, demonstrando as complica\u00e7\u00f5es per e p\u00f3s-operat\u00f3rias, resultados imediatos e acompanhamento dos pacientes. M\u00c9TODOS: De novembro 1993 a junho 2005, 72 pacientes foram submetidos a esofagectomia laparosc\u00f3pica transhiatal. Destes, havia 64 casos de neoplasia maligna de es\u00f4fago. Houve predom\u00ednio do sexo masculino (81%), com m\u00e9dia de idade de 56,5 anos. O tempo abdominal foi realizado por laparoscopia e a parte cervical de modo convencional, sendo o est\u00f4mago tubulizado levado at\u00e9 o pesco\u00e7o para anastomose pelo mediastino posterior. RESULTADOS: A esofagectomia transhiatal por via laparosc\u00f3pica em casos de neoplasia esofagiana foi iniciada em 64 pacientes. O \u00edndice de convers\u00e3o foi de quatro casos. A dura\u00e7\u00e3o m\u00e9dia da opera\u00e7\u00e3o foi de 153 minutos. A incid\u00eancia de f\u00edstula cervical foi de 14,06%. CONCLUS\u00c3O: A esofagectomia laparosc\u00f3pica transhiatal \u00e9 op\u00e7\u00e3o segura em centros com experi\u00eancia. A morbidade \u00e9 menor, com recupera\u00e7\u00e3o mais r\u00e1pida e retorno \u00e0s atividades habituais precoce. Certamente esta via de acesso deve ser considerada no tratamento das afec\u00e7\u00f5es do es\u00f4fago.<\/jats:p>","DOI":"10.1590\/s0004-28032007000200011","type":"journal-article","created":{"date-parts":[[2007,11,17]],"date-time":"2007-11-17T12:48:32Z","timestamp":1195303712000},"page":"141-144","source":"Crossref","is-referenced-by-count":6,"title":["Esofagectomia laparoc\u00f3pica transhiatal: resultados imediatos"],"prefix":"10.1590","volume":"44","author":[{"given":"Renam Catharina","family":"Tinoco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Augusto Cl\u00e1udio","family":"Tinoco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciana Janene","family":"El-Kadre","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo Amaral","family":"Rios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Mendon\u00e7a","family":"Sueth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Montes","family":"Pena","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1097\/00000658-200008000-00013","article-title":"Improvement in the results of surgical treatment of advanced squamous esophageal carcinoma during 15 consecutives years","volume":"232","author":"Ando N","year":"2000","journal-title":"Ann Surg","ISSN":"https:\/\/id.crossref.org\/issn\/0003-4932","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1097\/00129689-200104000-00011","article-title":"Esophagectomy and laparoscopic gastric mobilization with 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