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

Figure 2 Surgical technique. A: The esophageal hiatus was divided, and carbon dioxide was introduced into the mediastinum; B: Dissection of the anterior plane of the thoracic aorta was extended to the cranial side, and the root of the proper esophageal artery was confirmed under a magnified videoscopic view; C: While lifting the posterior mediastinal lymph nodes like a membrane, they were cut along the border of the left mediastinal pleura; D: This incision was extended to the left pulmonary hilum and aortic arch. Ao: Thoracic aorta; E: Esophagus; Lt: Left; PMLNs: Posterior mediastinal lymph nodes.