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Prone position esophagectomy

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https://www.readbyqxmd.com/read/28103500/thoracoscopic-surgery-in-the-prone-position-for-esophageal-cancer-in-patients-with-situs-inversus-totalis-a-report-of-two-cases
#1
Toru Nakano, Takashi Kamei, Yu Onodera, Naoto Ujiie, Noriaki Ohuchi
INTRODUCTION: Situs inversus totalis (SIT) is a rare congenital condition characterized by a complete transposition of thoracic and abdominal organs. Here, we present two successful cases of left thoracoscopic esophagectomy in the prone position for SIT-associated esophageal cancer. PRESENTATION OF CASE: Our first case was of an 82-year-old man who underwent a left thoracoscopic esophagectomy in the prone position, followed by hand-assisted laparoscopic gastric mobilization...
January 6, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28058549/reliable-surgical-techniques-for-lymphadenectomy-along-the-left-recurrent-laryngeal-nerve-during-thoracoscopic-esophagectomy-in-the-prone-position
#2
Taro Oshikiri, Tetsu Nakamura, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: Lymphadenectomy along the left recurrent laryngeal nerve (RLN) in esophageal cancer is important for disease control (1) but requires advanced dissection skills. We previously reported a reliable method (2) for lymphadenectomy along the left RLN during thoracoscopic esophagectomy in the prone position (TEP). The goal of this method is complete dissection of the lymph nodes along the left RLN in a safe manner. METHOD: This procedure is performed for all resectable thoracic esophageal cancers...
January 5, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28002078/nurse-counseling-for-physical-activity-in-patients-undergoing-esophagectomy
#3
Hiroko Komatsu, Shigeaki Watanuki, Yurie Koyama, Keio Iino, Miho Kurihara, Hideo Uesugi, Kaori Yagasaki, Hiroyuki Daiko
Strong evidence exists regarding multiple benefits of physical activity among cancer patients. Patients undergoing esophagectomy received counseling for physical activity by a nurse and instructions to keep a diary of physical activities before surgery, followed by 2 counseling sessions after surgery. Physical activity, body mass index, psychological distress, and quality of life were measured at baseline, 2-4 weeks, and 3 and 6 months after discharge. Of 29 participants (mean age = 65.9 years), 72.5% underwent thoracoscopic esophagectomy in the prone position with 3-field lymphadectomy...
December 19, 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/27826777/impact-of-routine-recurrent-laryngeal-nerve-monitoring-in-prone-esophagectomy-with-mediastinal-lymph-node-dissection
#4
Makoto Hikage, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Jin Teshima, Soichi Ito, Nobuchika Niizuma, Hiroshi Okamoto, Toshiaki Fukutomi, Masato Yamada, Shota Maruyama, Noriaki Ohuchi
BACKGROUND: The problem of recurrent laryngeal nerve (RLN) paralysis (RLNP) after radical esophagectomy remains unresolved. Several studies have confirmed that intraoperative nerve monitoring (IONM) of the RLN during thyroid surgery substantially decreases the incidence of RLN damage. This study tried to determine the feasibility and effectiveness of IONM of the RLN during thoracoscopic esophagectomy in the prone position for esophageal cancer. METHODS: All 108 patients who underwent prone esophagectomy at Tohoku University Hospital between July 2012 and March 2015 were included in this study...
November 8, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27815477/effective-mediastinal-lymphadenectomy-for-esophageal-cancer-using-slender-tracheal-forceps-in-prone-position-thoracoscopic-esophagectomy
#5
Masanobu Nakajima, Masakazu Takahashi, Yasushi Domeki, Hitoshi Satomura, Hiroto Muroi, Maiko Kikuchi, Hideo Ogata, Satoru Yamaguchi, Kinro Sasaki, Makoto Sakai, Makoto Sohda, Tatsuya Miyazaki, Hiroyuki Kuwano, Hiroyuki Kato
BACKGROUND/AIM: Adequate mediastinal lymphadenectomy during thoracoscopic esophagectomy (TE) requires an extensive operating field. In order to rectify this problem, we developed slender tracheal forceps that can pass through a 12-mm trocar. PATIENTS AND METHODS: TE in the prone position was performed in 58 patients with esophageal cancer using slender tracheal forceps. Perioperative and postoperative clinical data were compared against those of 61 patients who underwent transthoracic open esophagectomy (OE)...
November 2016: In Vivo
https://www.readbyqxmd.com/read/27649008/minimally-invasive-esophagectomy-for-caustic-ingestion-after-73-years-and-over-200-endoscopic-dilations-is-it-just-a-matter-of-time
#6
Federico Marchesi, Chiara Rapacchi, Vittoria Pattonieri, Francesco Tartamella, Maria Teresa Mita, Stefano Cecchini
Refractory esophageal strictures are a common sequela of caustic ingestion. If endoscopic dilation becomes ineffective, esophagectomy represents the only therapeutic option. The minimally invasive approach, specifically the thoracoscopic access in prone position, may allow postoperative morbidity to be reduced. We present the first case described in the Literature of minimally invasive esophagectomy in prone position for a long-term failure of endoscopic dilation after caustic ingestion.
2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27555209/use-of-single-lumen-tube-for-minimally-invasive-and-hybrid-esophagectomies-with-prone-thoracoscopic-dissection-case-series
#7
Manila Singh, Rajeev Uppal, Kapil Chaudhary, Amit Javed, Anil Aggarwal
Minimally invasive and hybrid minimally invasive esophagectomy (MIE) is a technically challenging procedure. Anesthesia for the same is equally challenging due to special requirements of the video-assisted thoracoscopic technique used and shared operative and respiratory fields. Standard ventilatory strategy for this kind of surgery has been 1-lung ventilation with the help of a double-lumen tube. Prone positioning for thoracoscopic dissection facilitates gravity-dependant collapse of the operative side lung induced by a unilateral capnothorax, thus making the use of single-lumen endotracheal tube a feasible option for this surgery...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27492431/a-new-method-the-pincers-maneuver-for-lymphadenectomy-along-the-right-recurrent-laryngeal-nerve-during-thoracoscopic-esophagectomy-in-the-prone-position-for-esophageal-cancer
#8
Taro Oshikiri, Tetsu Nakamura, Yukiko Miura, Masashi Yamamoto, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: In esophageal squamous cell carcinoma, the number of dissected lymph nodes (LNs), including those along the recurrent laryngeal nerves (RLNs), influences prognosis and nodal staging accuracy. However, dissection of LNs along the RLN increases the risk of complications, especially RLN palsy. Therefore, complete dissection of these LNs with prevention of RLN palsy is recommended. We present herein a new method for lymphadenectomy along the right RLN, named the Pincers maneuver, during thoracoscopic esophagectomy in the prone position (TEP)...
August 4, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27473577/trainee-competence-in-thoracoscopic-esophagectomy-in-the-prone-position-evaluation-using-cumulative-sum-techniques
#9
Taro Oshikiri, Takashi Yasuda, Masashi Yamamoto, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Tetsu Nakamura, Yasuhiro Fujino, Masahiro Tominaga, Satoshi Suzuki, Yoshihiro Kakeji
PURPOSE: Minimally invasive esophagectomy (MIE) has less morbidity than the open approach. In particular, thoracoscopic esophagectomy in the prone position (TEP) has been performed worldwide. Using the cumulative sum control chart (CUSUM) method, this study aimed to confirm whether a trainee surgeon who learned established standards would become skilled in TEP with a shorter learning curve than that of the mentoring surgeon. METHODS: Surgeon A performed TEP in 100 patients; the first 22 patients comprised period 1...
September 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27440041/-endoscopic-surgery-for-esophageal-cancer
#10
Hirokazu Noshiro
Conventional thoracotomic esophagectomy has been performed for treating invasive thoracic esophageal carcinoma. In spite of the improved survival rate, the procedure is associated with significant operative morbidity and mortality rates due to the extreme invasiveness of an extensive dissection for the lymph nodes. Minimally invasive esophagectomy was developed to reduce surgical invasiveness. Recently, the use of thoracoscopic esophagectomy performed in the prone position has stimulated new interest in minimally invasive approaches...
July 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27400692/short-term-outcomes-and-one-surgeon-s-learning-curve-for-thoracoscopic-esophagectomy-performed-with-the-patient-in-the-prone-position
#11
Taro Oshikiri, Takashi Yasuda, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Kimihiro Yamashita, Takeru Matsuda, Yasuo Sumi, Tetsu Nakamura, Yasuhiro Fujino, Masahiro Tominaga, Satoshi Suzuki, Yoshihiro Kakeji
PURPOSE: Thoracoscopic esophagectomy with the patient in the prone position (TEP) is now being performed as minimally invasive esophagectomy for esophageal cancer. This study examines the short-term outcomes and the learning curve associated with TEP. METHODS: One surgeon ("Surgeon A") performed TEP on 100 consecutive patients assigned to three periods based on treatment order. Each group consisted of 33 or 34 patients. The outcomes of the three groups were compared to define the influence of surgeon expertise...
July 11, 2016: Surgery Today
https://www.readbyqxmd.com/read/27387180/prone-position-in-thoracoscopic-esophagectomy-improves-postoperative-oxygenation-and-reduces-pulmonary-complications
#12
Dai Otsubo, Tetsu Nakamura, Masashi Yamamoto, Shingo Kanaji, Kiyonori Kanemitsu, Kimihiro Yamashita, Tatsuya Imanishi, Taro Oshikiri, Yasuo Sumi, Satoshi Suzuki, Daisuke Kuroda, Yoshihiro Kakeji
BACKGROUND: While thoracoscopic esophagectomy is a widely performed surgical procedure, only few studies regarding the influence of body position on changes in circulation and breathing, after the surgery, have been reported. This study aimed at evaluating the effect of body position, during surgery, on the postoperative breathing functions of the chest. METHODS: A total of 266 patients who underwent right-sided transthoracic esophagectomy for esophageal cancer from 2004 to 2012 were included in this study...
July 7, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27295779/-the-concept-of-lymphadenectomy-along-the-recurrent-laryngeal-nerves-during-thoracoscopic-esophagectomy-in-the-prone-position
#13
Hiroyuki Daiko, Takeo Fujita
No abstract text is available yet for this article.
March 2016: Nihon Geka Gakkai Zasshi
https://www.readbyqxmd.com/read/27225750/outcomes-of-thoracoscopic-esophagectomy-in-prone-position-with-laparoscopic-gastric-mobilization-for-esophageal-cancer
#14
Hiroyuki Kitagawa, Tsutomu Namikawa, Masaya Munekage, Kazune Fujisawa, Eri Munekgae, Michiya Kobayashi, Kazuhiro Hanazaki
PURPOSE: The aim of this study was to evaluate the short- and long-term outcomes of thoracoscopic esophagectomy performed in the prone position (TSE-PP) followed by laparoscopic gastric mobilization (LGM) compared with open thoracotomy and LGM, for esophageal cancers. METHODS: We reviewed the records of 105 consecutive patients who underwent esophagectomy with LGM for esophageal cancer at Kochi Medical School. Among the study patients, 60 patients underwent TSE-PP, while 45 underwent open thoracotomy (OPEN group)...
August 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27217695/minimally-invasive-surgery-for-upper-gastrointestinal-cancer-our-experience-and-review-of-the-literature
#15
REVIEW
Koichi Suda, Masaya Nakauchi, Kazuki Inaba, Yoshinori Ishida, Ichiro Uyama
Minimally invasive surgery (MIS) for upper gastrointestinal (GI) cancer, characterized by minimal access, has been increasingly performed worldwide. It not only results in better cosmetic outcomes, but also reduces intraoperative blood loss and postoperative pain, leading to faster recovery; however, endoscopically enhanced anatomy and improved hemostasis via positive intracorporeal pressure generated by CO2 insufflation have not contributed to reduction in early postoperative complications or improvement in long-term outcomes...
May 21, 2016: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/27117963/chylous-leakage-from-a-remaining-duplicated-left-sided-thoracic-duct-after-esophagectomy-successfully-treated-by-ligation-of-the-left-sided-thoracic-duct-with-left-sided-video-assisted-thoracoscopic-surgery-with-the-patient-in-the-prone-position
#16
Tetsuya Abe, Ryosuke Kawai, Norihisa Uemura, Jiro Kawakami, Seiji Ito, Koji Komori, Yoshiki Senda, Kazunari Misawa, Masayuki Shinoda, Yasuhiro Shimizu
A 69-year-old man who had undergone an esophagectomy was diagnosed with chylous leakage on postoperative day 2, and his pleural effusion output gradually increased daily. On postoperative day 6, intranodal lymphangiography using lipiodol demonstrated chylous leakage from branches of an incomplete duplicated left-sided thoracic duct; it also indicated successful ligation of the right-sided thoracic duct at initial operation. After lymphangiography, the chylous leakage did not heal and remained uncontrollable...
May 2016: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27003457/thermogenesis-induced-by-amino-acid-administration-prevents-intraoperative-hypothermia-and-reduces-postoperative-infectious-complications-after-thoracoscopic-esophagectomy
#17
T Fujita, N Okada, J Kanamori, T Sato, S Mayanagi, K Torigoe, A Oshita, H Yamamoto, H Daiko
Minimally invasive thoracoscopic esophagectomy has potential advantages in minimizing the impairment of respiratory function and reducing surgical stress. However, thoracoscopic esophagectomy occasionally results in anesthesia-induced hypothermia, particularly in cases involving artificial pneumothorax with CO2 . Thermogenesis induced by amino acid administration has been reported during anesthesia. Here, we tested the efficacy of amino acid treatment for the prevention of hypothermia, and we investigated the potential of this treatment to reduce postoperative infectious complications after thoracoscopic esophagectomy...
March 22, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/26960591/thoracoscopic-side-to-side-esophagogastrostomy-by-use-of-linear-stapler-a-simplified-technique-facilitating-a-minimally-invasive-ivor-lewis-operation
#18
Tomoyuki Irino, Jon A Tsai, Jessica Ericson, Magnus Nilsson, Lars Lundell, Ioannis Rouvelas
PURPOSE: Minimally invasive esophagectomy (MIE) has been met with increased interest for the surgical treatment of esophageal cancer. One critical obstacle for the implementation of MIE has been the intrathoracic anastomosis. In this study, we describe a technique of thoracoscopic intrathoracic anastomosis using a linear stapler in prone position and present the short-term outcomes of this procedure. METHODS: This prospective pilot study included 46 consecutive patients with a cancer either of the gastroesophageal junction (GEJ) or the distal esophagus who underwent either total MIE or thoracoscopic-assisted esophagectomy followed by intrathoracic stapled side-to-side anastomosis...
May 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/26956511/optimized-total-thoracoscopic-and-laparoscopic-esophagectomy-for-esophageal-cancer
#19
Shao-hui Zhou, Yong-bin Song, Li-jun Liu, Hong-shang Cui
BACKGROUND: Total thoracoscopic and laparoscopic esophagectomy (TLE) has attracted attention with the advantage of better operative field and minimal wound for the esophageal cancer. However, various severe complications are also reported during the TLE such as cervical anastomotic leakage, chylothorax, and tracheal injury. The aim of this study was to introduce a new optimized TLE procedure for the esophageal cancer and assess its safety and clinical effects. METHODS: We retrospectively collected the clinical data of 30 patients with esophageal cancer who underwent optimized TLE procedures between January 2014 and December 2014...
March 9, 2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/26943380/minimally-invasive-resection-of-synchronous-thoracic-esophageal-and-gastric-carcinomas-followed-by-reconstruction-a-case-report
#20
Masayuki Honda, Hiroyuki Daiko, Takahiro Kinoshita, Takeo Fujita, Hidehito Shibasaki, Toshiro Nishida
We report on a case of synchronous carcinomas of the esophagus and stomach. A 68-year-old man was referred to our hospital for an abnormality found during his medical examination. Further evaluation revealed squamous cell carcinoma in the thoracic lower esophagus and gastric adenocarcinoma located in the middle third of the stomach. Thoracoscopic esophagectomy in the prone position (TSEP), laparoscopic total gastrectomy (LTG) with three-field lymph node dissection, and laparoscopically assisted colon reconstruction (LACR) were performed...
December 2015: Surgical Case Reports
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