آزادسازي مري به روش توراكوسكوپي در كانسرمري

Surgery is the most effective method of treatment in esophageal carcinoma. Due to the wide spread invasion of carcinoma in sub mucosal lymphatic channels, total esophagectomy is mandatory. Open surgery in esophageal carcinoma is with extensive dissection and big incisions in the abdomen and thorax. An excellent alternative for esophageal release in esophageal carcinoma is thoracoscopy. A 54 years old lady complained of dysphagia from 2 months ago and hoarseness since 4 months . She had 5 kg weight loss during this time. Barium swallow showed a filling defect in the middle third of the esophagus which was confirmed by endoscopy. Due to paralysis of the vocal cord, thoracoscopy was planned to rule out any invasion of cancer to the recurrent nerve. Laparoscopic esophageal release was performed successfully. In this patient using thoracoscopy, all of the pleural space was explored effectively. No invasion of tumor to the recurrent nerve or trachea was seen. Esophageal release was performed and 2 small lymph nodes were excised. Thoracoscopic esophageal release is an effective method in esophageal carcinoma wherein thoracic incision is omitted & post operative complications including morbidity are minimal. One-lung anesthesia is mandatory for obtaining a good view.