Multiple choice

For a lower end esophagus adenocarcinoma, a transhiatal esophagectomy is planned. The approach would be in which of the following order?

  1. Abdomen - Neck

  2. Chest - Abdomen - Neck

  3. Abdomen - Chest - Neck

  4. Right chest - Neck

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A Correct answer
Explanation

In a transhiatal esophagectomy for lower esophageal adenocarcinoma, the surgical approach typically involves mobilizing the stomach through the abdomen first, followed by dissection in the neck to create the anastomosis, without entering the thoracic cavity. Therefore, the sequence begins in the abdomen and ends in the neck.