{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T12:07:27Z","timestamp":1754482047920},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:p>OBJETIVO: Utilizamos esta pesquisa para estudar e demonstrar que a esofagectomia subtotal atrav\u00e9s do acesso laparosc\u00f3pico e transmediastinal para o preparo do est\u00f4mago, dissec\u00e7\u00e3o do es\u00f4fago, abdominal e tor\u00e1cico, e cervicotomia esquerda para retirada da pe\u00e7a e anastomose es\u00f4fago-g\u00e1strica \u00e9 facultativa e segura no tratamento do megaes\u00f4fago avan\u00e7ado. M\u00c9TODOS: Foram realizadas 60 esofagectomias transhiatais por laparoscopia de setembro de 1996 at\u00e9 dezembro de 2006 (10 casos com preserva\u00e7\u00e3o dos nervos vagos). A idade m\u00e9dia dos pacientes foi 56,4 anos (18 - 76) e antes da opera\u00e7\u00e3o foram submetidos \u00e0 sorologia para T. cruzi, esofagograma, endoscopia digestiva de alta resolu\u00e7\u00e3o, eletromanometria, ultrassom de ves\u00edcula biliar e pHmetria de 24 horas, avalia\u00e7\u00e3o nutricional, fisioterapia respirat\u00f3ria e suporte nutricional atrav\u00e9s de sonda nasoenteral. As indica\u00e7\u00f5es para o tratamento cir\u00fargico foram: megaes\u00f4fago avan\u00e7ado, diagnosticado radiologicamente e manometricamente, recidiva de megaes\u00f4fago ap\u00f3s opera\u00e7\u00e3o envolvendo a jun\u00e7\u00e3o es\u00f4fago-g\u00e1strica e associa\u00e7\u00e3o com disfagia acentuada e\/ou neoplasia. O acompanhamento foi de 6 a 118 meses. RESULTADOS: N\u00e3o houve mortalidade, o tempo m\u00e9dio das opera\u00e7\u00f5es foi de 160 minutos (110 - 325) e houve melhora de todos os par\u00e2metros avaliados. Doze dos 60 pacientes (20%) apresentaram complica\u00e7\u00f5es. Ocorreram oito casos de hemopneumot\u00f3rax (13,34%), tr\u00eas casos de estase g\u00e1strica (5%), quatro casos de f\u00edstula cervical (6,67%) com resolu\u00e7\u00e3o cl\u00ednica e nove casos de disfonia (15%). CONCLUS\u00c3O: Os resultados observados na esofagectomia transhiatal laparosc\u00f3pica foram satisfat\u00f3rios. Demonstraram que a t\u00e9cnica \u00e9 segura e traz excelentes resultados p\u00f3s-operat\u00f3rios.<\/jats:p>","DOI":"10.1590\/s0100-69912009000200005","type":"journal-article","created":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T23:26:40Z","timestamp":1246490800000},"page":"118-122","source":"Crossref","is-referenced-by-count":11,"title":["Esofagectomia transhiatal laparosc\u00f3pica para o tratamento do megaes\u00f4fago avan\u00e7ado: an\u00e1lise de 60 casos"],"prefix":"10.1590","volume":"36","author":[{"given":"Eduardo","family":"Crema","sequence":"first","affiliation":[{"name":"Universidade Federal do Tri\u00e2ngulo Mineiro, BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara Beatriz Prata","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"UFTM, BR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renato Costa","family":"Sousa","sequence":"additional","affiliation":[{"name":"UFTM, 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