Which of the following surgical approach for first described by Orringer for the management of carcinoma oesophagus: (A) Tranhiatal, (B) Thoracoscopic, (C) Left thoracoabdominal, (D) Right thoracoabdominal
Answer is A. Transhiatal approach for esophagectomy was described by Orringer. Useful in cancers of lower third of oesophagus Other methods or two-stage Ivor-Lewis method with thoracic and abdominal incisions and a three-stage McKeown operation with additional neck incision, paicularly useful in proximal cancers. Reference: Bailey and Love 26 th edition page: 1011