To date, no therapy has been proven superior to esophagectomy for the cure of patients with early-stage esophageal cancer. The primary goal of surgery is complete (R0) resection of the tumor to maximize the opportunity for cure and minimize the…
Normally, several centimeters of the distal esophagus and the gastroesophageal junction (GEJ) lie below the hiatus within the abdomen. When the GEJ, the fundus of the stomach, or both migrate into the chest above the hiatus, a hiatal hernia is…
Laparoscopic repair of a large hiatal hernia with a widened hiatus is challenging and objective hernia recurrence rates are high. In a recent randomized trial, the recurrence rate exceeded 50% at 5 years after laparoscopic paraesophageal hernia. Tension on the…