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Prone position esophagectomy

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https://www.readbyqxmd.com/read/29209832/minimally-invasive-esophagectomy-a-propensity-score-matched-analysis-of-semiprone-versus-prone-position
#1
Maarten F J Seesing, Lucas Goense, Jelle P Ruurda, Misha D P Luyer, Grard A P Nieuwenhuijzen, Richard van Hillegersberg
BACKGROUND: The preferred surgical approach for esophageal cancer is a minimally invasive transthoracic esophagectomy with a two-field lymph node dissection. The thoracoscopic phase may be performed either in prone- or in left lateral decubitus (LLD) position. Prone positioning has been associated with better pulmonary outcomes compared to LLD positioning; however, conversion to a classic thoracotomy is more difficult. The semiprone position has been proposed as an alternative approach...
December 5, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29126387/thoracoscopic-and-hand-assisted-laparoscopic-esophagectomy-with-radical-lymph-node-dissection-for-esophageal-squamous-cell-carcinoma-in-the-left-lateral-decubitus-position-a-single-center-retrospective-analysis-of-654-patients
#2
Masahiko Murakami, Koji Otsuka, Satoru Goto, Tomotake Ariyoshi, Takeshi Yamashita, Takeshi Aoki
BACKGROUND: The rates of thoracoscopic esophagectomy performed in the prone and left lateral decubitus positions are similar in Japan. We retrospectively reviewed short- and long-term outcomes of thoracoscopic esophagectomy for esophageal cancer performed in the left lateral decubitus position. METHODS: Between 1996 and 2015, 654 patients with esophageal cancer underwent thoracoscopic esophagectomy in the left lateral decubitus position. Patients were divided into early (1996-2008) and late groups (2009-2015, with standardization of the procedure and formalized training), and their clinical outcomes reviewed...
November 10, 2017: BMC Cancer
https://www.readbyqxmd.com/read/29116434/comparison-between-neck-first-approach-and-thoracic-approach-during-thoracoscopic-esophagectomy
#3
Hiroyuki Kitagawa, Tsutomu Namikawa, Jun Iwabu, Kazune Fujisawa, Michiya Kobayashi, Kazuhiro Hanazaki
PURPOSE: This study aimed to compare the outcomes of the prior cervical and thoracic approaches of thoracoscopic esophagectomy in the prone position for esophageal cancer. METHODS: We reviewed the records of 103 consecutive patients who underwent thoracoscopic esophagectomy in the prone position for esophageal cancer. Seventy-four patients underwent the prior cervical approach (Cervical group); the other 29 underwent the thoracic approach (Thoracic group). The perioperative outcomes of the two groups were compared...
November 7, 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/29100176/a-left-thoracic-approach-in-a-prone-position-for-thoracoscopic-thoracic-duct-ligation-in-a-patient-with-post-esophagectomy-chylothorax-a-case-report
#4
Kiyotomi Maruyama, Kou Shimada, Toshikazu Hamanaka, Shinsuke Sugenoya, Kuniyuki Gomi, Motohiro Mihara, Shoji Kajikawa, Yusuke Sato
INTRODUCTION: We debate whether or not to approach from right thorax for the left chylothorax after esophagectomy. PRESENTATION OF CASE: A 50s-year-old female underwent right-sided thoracoscopic esophagectomy with three-field lymphadenectomy for esophageal carcinoma (type 0-IIa, 3.4×2.2cm, T1bN0M0, Stage IA), followed by reconstruction with esophagogastric anastomosis through the posterior mediastinum. The thoracic duct was excised and ligated. The left thoracic drainage increased to 2115mL/day on the fifth postoperative day...
October 24, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29078593/video-assisted-thoracoscopic-surgery-and-open-chest-surgery-in-esophageal-cancer-treatment-present-and-future
#5
REVIEW
Lieven Depypere, Willy Coosemans, Philippe Nafteux, Hans Van Veer, Arne Neyrinck, Steve Coppens, Chantal Boelens, Kristel Laes, Toni Lerut
Surgical esophageal cancer treatment has, like other solid organ cancer treatments, evolved from a monospeciality treatment towards a multidisciplinary treatment. In an increasing number of centers around the world minimally invasive esophagectomy (MIE) is now proposed as the preferred surgical approach although there is still a place for open surgery in selected cases. Careful assessment of oncologic and medical operability and adequate pre-operative preparation are the first and foremost important steps to guarantee optimal oncological and functional results...
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29075967/low-invasiveness-of-thoracoscopic-esophagectomy-in-the-prone-position-for-esophageal-cancer-a-propensity-score-matched-comparison-of-operative-approaches-between-thoracoscopic-and-open-esophagectomy
#6
Shinsuke Kanekiyo, Shigeru Takeda, Masahito Tsutsui, Mitsuo Nishiyama, Masahiro Kitahara, Yoshitaro Shindo, Yukio Tokumitsu, Shinobu Tomochika, Yoshihiro Tokuhisa, Michihisa Iida, Kazuhiko Sakamoto, Nobuaki Suzuki, Shigeru Yamamoto, Shigefumi Yoshino, Shoichi Hazama, Tomio Ueno, Hiroaki Nagano
BACKGROUND: In this study, cytokine levels, outcome, and survival rates after esophagectomy for esophageal cancer were retrospectively investigated in a propensity score-matched comparison of operative approaches between the thoracoscopic esophagectomy (TE) in the prone position and open esophagectomy (OE). PATIENTS AND METHODS: Between 2005 and 2014, TE was performed on a group of 85 patients, which was compared with a group of 104 OE cases. Eventually, 65 paired cases were matched using propensity score matching...
October 26, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29058363/minimally-invasive-esophagectomy-in-the-lateral-prone-position-experience-of-124-cases-in-a-single-center
#7
Shaohua Ma, Tianshen Yan, Dandan Liu, Keyi Wang, Jingdi Wang, Jintao Song, Tong Wang, Wei He, Jie Bai, Liang Jin
BACKGROUND: Minimally invasive esophagectomy was first introduced as a new technique for esophageal cancer treatment 20 years ago. Performing this procedure in the lateral-prone position is the most appropriate method. Since May 2013, our center has performed 124 esophageal cancer operations using this procedure. Herein, we share our experience. METHODS: We retrospectively reviewed 124 consecutive patients who had received minimally invasive esophagectomy in the lateral-prone position from May 2013 to June 2017...
October 23, 2017: Thoracic Cancer
https://www.readbyqxmd.com/read/29019570/thoraco-laparoscopic-esophagectomy-thoracic-stage-in-prone-position
#8
Carlos Bernardo Cola, Flávio Duarte Sabino, Carlos Eduardo Pinto, Maria Ribeiro Morard, Pedro Portari, Tereza Guedes
OBJECTIVE: to analyze the National Cancer Institute Abdominopelvic Division (INCA / MS/HC I) initial experience with thoraco-laparoscopic esophagectomy with thoracic stage in prone position. METHODS: we studied 19 consecutive thoraco-laparoscopic esophagectomies from may 2012 to august 2014, including ten patients with squamous cells carcinoma (five of the middle third and five of the lower third) and nine cases of gastroesophageal junction adenocarcinoma (six Siewert I and three Siewert II)...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28755160/successful-video-assisted-thoracoscopic-surgery-in-prone-position-in-patients-with-esophageal-cancer-and-aberrant-right-subclavian-artery-report-of-three-cases
#9
Koji Shindo, Eishi Nagai, Toshinaga Nabae, Toru Eguchi, Taiki Moriyama, Kenoki Ohuchida, Tatsuya Manabe, Takao Ohtsuka, Yoshinao Oda, Makoto Hashizume, Masafumi Nakamura
BACKGROUND: An aberrant right subclavian artery (ARSA) with an associated nonrecurrent right inferior laryngeal nerve (NRILN) is a relatively rare anomaly that occurs at a frequency of 0.3 to 2.0% of the general population. NRILN has been mainly documented in the head and neck region; it has been rarely described in patients with esophageal cancer, especially those undergoing thoracoscopic surgery. Video-assisted thoracoscopic surgery for esophageal cancer (VATS-E) is becoming more widespread as a reliable minimally invasive surgical procedure associated with reduced perioperative complications...
December 2017: Surgical Case Reports
https://www.readbyqxmd.com/read/28510799/practical-surgical-techniques-for-lymphadenectomy-along-the-right-recurrent-laryngeal-nerve-during-thoracoscopic-esophagectomy-in-the-prone-position
#10
Taro Oshikiri, Tetsu Nakamura, Yukiko Miura, Hiroshi Hasegawa, Masashi Yamamoto, Shingo Kanaji, Kimihiro Yamashita, Yoshiko Matsuda, Takeru Matsuda, Yasuo Sumi, Satoshi Suzuki, Yoshihiro Kakeji
BACKGROUND: In esophageal squamous cell cancer (SCC), lymphadenectomy along the right recurrent laryngeal nerve (RLN) is important for disease control. The metastatic rate was 33% and the 5-year overall survival rate of these patients was 33.3%,1 but the risk of RLN palsy increases.2 We reported a reliable new method ('Pincers Maneuver')3 for lymphadenectomy along the right RLN during thoracoscopic esophagectomy in the prone position (TEP), and hereby present our video, aimed at providing a complete and safe dissection...
May 16, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28399060/thoracoscopic-esophagectomy-in-the-prone-position-versus-the-lateral-position-hand-assisted-thoracoscopic-surgery-a-retrospective-cohort-study-of-127-consecutive-esophageal-cancer-patients
#11
Naoya Fukuda, Toshiaki Shichinohe, Yuma Ebihara, Yoshitsugu Nakanishi, Toshimichi Asano, Takehiro Noji, Yo Kurashima, Toru Nakamura, Soichi Murakami, Takahiro Tsuchikawa, Keisuke Okamura, Satoshi Hirano
PURPOSE: To assess the validity of esophagectomy with the patient in the prone position (PP), the short-term surgical results of PP and hand-assisted thoracoscopic surgery (HATS) were compared. METHODS: This study enrolled 127 patients who underwent esophagectomy with HATS (n=91) or PP (n=36) between October 1999 and September 2014. The patients' background characteristics, operative findings, and postoperative complications were examined. RESULTS: The patients' background characteristics were not significantly different...
June 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28251360/role-of-3d-in-minimally-invasive-esophagectomy
#12
Alexandros Charalabopoulos, Bruno Lorenzi, Ali Kordzadeh, Cheuk-Bong Tang, Sritharan Kadirkamanathan, Naga Venkatesh Jayanthi
PURPOSE: Two-stage minimally invasive esophagectomy (MIE) has gained popularity in the surgical treatment of esophageal cancer. MIE's limitation is embedded in the construction of intrathoracic anastomosis. Various anastomotic techniques have been reported; however, the mechanical one remains the most commonly adopted. This pilot study aims to describe an efficient, safe, and reproducible way of performing a hand-sewn intrathoracic esophagogastric anastomosis in conjunction with short-term results using 2D and 3D thoracoscopic approaches...
May 2017: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/28203413/better-perioperative-outcomes-in-thoracoscopic-esophagectomy-with-two-lung-ventilation-in-semi-prone-position
#13
Lei Cai, Yan Li, Li Sun, Xue-Wen Yang, Wen-Bin Wang, Fan Feng, Guang-Hui Xu, Man Guo, Xiao Lian, Hong-Wei Zhang
BACKGROUND: One-lung ventilation (OLV) anesthesia intubation route is often used in patients undergoing thoracoscopic-esophagectomy in semi-prone position. Recently, the two-lung ventilation (TLV) approach becomes popular. However, limited studies have compared the two ventilation approaches in parallel. Here, we report a single-center, retrospective study of comparing TLV and OLV approach in patients undergoing thoracoscopic-esophagectomy in semi-prone position. METHODS: From January 2013 to November 2014, 147 patients were enrolled into the current study and were given thoracoscopic-esophagectomy in semi-prone position either by OLV or TLV...
January 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28161685/bilateral-approach-for-thoracoscopic-esophagectomy-with-lymph-node-dissection-in-the-dorsal-area-of-the-thoracic-aorta-in-patients-with-esophageal-cancer-a-report-of-two-cases
#14
Yu Onodera, Toru Nakano, Takahiro Heishi, Tadashi Sakurai, Yusuke Taniyama, Chiaki Sato, Noriaki Ohuchi, Takashi Kamei
INTRODUCTION: The incidence of lymph node metastasis in the dorsal area of the thoracic aorta (DTA) is relatively low in patients with esophageal cancer. It is difficult to approach the DTA using surgical procedures, such as an open thoracotomy and thoracoscopy in the left decubitus position. CASE PRESENTATION: Case 1: A 70-year-old man with esophageal cancer underwent thoracoscopic esophagectomy with mediastinal lymph node dissection via a right thoracoscopic approach, followed by lymphadenectomy in the DTA via left thoracoscopy in the prone position...
2017: International Journal of Surgery Case Reports
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
#15
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...
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
#16
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...
April 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28002078/nurse-counseling-for-physical-activity-in-patients-undergoing-esophagectomy
#17
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
#18
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...
July 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/27815477/effective-mediastinal-lymphadenectomy-for-esophageal-cancer-using-slender-tracheal-forceps-in-prone-position-thoracoscopic-esophagectomy
#19
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
#20
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.
September 13, 2016: Acta Bio-medica: Atenei Parmensis
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