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

Figure 3 Thoracic esophagus was completely detached from the surrounding tissue. A: A hernial sac was identified on the cranial side of the right crus of the diaphragm; B: Dissection of the posterior and right sides of the esophagus was performed to the level of the arch of the azygos vein; C: While lifting the right mediastinal pleura like a membrane, an incision was made and extended to the right pulmonary hilum, and the lymph nodes were resected from the right main bronchus and carina; D: Intraoperative view after dissection of the subcarinal lymph nodes. Ao: Thoracic aorta; E: Esophagus; Lt: Left; Rt: Right; Br: Bronchus; SCLNs: Subcarinal lymph nodes.