Course 9: Advanced Esophageal and Tracheal Procedures

Course Directors: Sidharta P. Gangadharan, Boston, MA, and Thomas K. Varghese Jr, Seattle, WA 


Tracheal and esophageal resection and reconstruction require unique technical skills to achieve success and minimize complications, such as leaks and stricture. Unfortunately these cases are relatively few in number nationwide, and many practitioners have difficulty in achieving competence during their training programs. Participants will be introduced to several techniques for airway and esophageal reconstruction with emphasis on the different technical aspects (“pearls”) of the anastomosis from content experts.

The course will provide a hands-on experience for two tracheobronchial techniques—tracheal sleeve anastomosis and tracheobronchoplasty—and two esophageal anastomotic techniques—hybrid linear stapled anastomosis and hand-sewn anastomosis. Skills learned in the course by participants can be incorporated into practice.

Learning Objectives
Upon completion of this activity, participants should be able to: 

  • Utilize principles of tracheal resection/anastomosis and sleeve resection/reconstruction
  • Demonstrate the tracheobronchoplasty procedure for tracheomalacia
  • Perform two types of esophageal stapled anastomosis—hybrid linear and end-to-end
  • Perform a hand-sewn esophagogastric anastomosis

Please watch the video below containing background information and lecture materials associated with this course.

Please note: No CME credit is associated with the viewing of web-based content. This presentation was created for The Society of Thoracic Surgeons STS University courses, and STS retains sole rights to these materials.