Trans hiatal esophagectomy was performed on a 59-year-old female who presented with dysphagia for esophageal cancer in the middle third. The surgery involved mobilizing the stomach through an abdominal incision. Her recovery was uneventful. A 70-year-old man also underwent trans hiatal esophagectomy for cancer in the mid and lower esophagus, with an uneventful cervical anastomosis between the esophagus and stomach. He presented with 1 month of dysphagia and was a heavy smoker. Biopsy confirmed squamous cell carcinoma and pre-operative staging found no lymph node or liver metastasis.

1. TRANS HIATAL ESOPHAGECTOMY

2. CARCINAMA OF THE ESOPHAGUS….MIDLE THIRD. THIS IS MOBILSED STOMUCH THROUGH AN ABDOMINAL INCISION. TRANS HIATAL ESOPHAGECTOMY HAS BEEN DONE .UN EVENFUL RECOVERY TAWOOS HAMA ALI. 59 YEARS .OLD FEMALE. PRESENTED WITH DYSPHAGIA .

11. FIRST POST OPERATIVE DAY

12. THE NECK INCISION

13. Taws karem 70 y trans hiatal esophagectomy for ca mid and lower third with cervical anastomosis btween cervical esoph. And stomach.Single layer through and through absorbable suture material (p d s).Un eventful recovery

19. Trans hiatal esophagectomy 70 years old man .farmer from sulaimany .kurdistan regional government. Presented with dysphagia for one month duration. No any previous history of such complaint .The symtom was almost progressive. No loss of weight, no loss of appetite. No other G I T problems. Review of systems was normal. Heavy smoker for 40 years .no history of alcohol ,no family history for cancer. No previous history suggestive history of reflux disease. Barium swallow was not conclusive . OGD has revealed narrowing in the mid esophagus,with small ulcer area. Biopsy of the lesion has been performed, the result of which was squamous cell carcinoma of well differentiated type. Pre operative staging was in favor of early cancer,no lymph nodes ,no liver metastasis.Normal thoracic imaging. T2 No Mo. And the operative finding was also confirming the same staging, Trans hiatal esophagectomy was done for him. The slides has been provided as follows. operated on in sulaimanya at 15 .Jan.2007