Laparoscopic transhiatal approach for resection of an adenocarcinoma in long-segment Barrett’s esophagus

Figure 1 Endoscopy findings (A, B) and computed tomography findings (C-F). A: An ulcerative lesion was found in a hiatal hernia 30 cm from an incisor; B: 0-IIc type esophageal cancer was detected 25 cm from an incisor; There was severe deformity of the trunk caused by kyphosis and muscular contractures (C-F); C: The arrow points to the permanent tracheal stoma; D: The arrow points to the metal clip near the 0-IIc type esophageal cancer; E: The arrow points to the metal clip near the ulcerative lesion in hiatal hernia; F: The arrow points to the sliding hiatal hernia.