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Erschienen in: Surgical Endoscopy 9/2015

01.09.2015

Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy

verfasst von: Jin Teshima, Go Miyata, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Takanobu Nakamura, Kai Takaya, Masashi Zuguchi, Hiroshi Okamoto, Ozawa Youhei, Noriaki Ohuchi

Erschienen in: Surgical Endoscopy | Ausgabe 9/2015

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Abstract

Background

Prone thoracoscopic esophagectomy was introduced at our institution from 2012. This study describes our experiences of the main differences between thoracoscopic esophagectomy in the prone and traditional left lateral decubitus positions together with an analysis of the short-term surgical outcomes.

Method

In total, 87 patients undergoing thoracoscopic esophagectomy between January 2012 and October 2013 at Tohoku University Hospital were enrolled; of these, 54 and 33 patients were operated in the prone (Group P) and lateral decubitus (Group L) positions, respectively.

Results

The background of the patients was similar, and there was no in-hospital mortality. There were no significant differences between the groups in terms of whole surgical duration, thoracic duration, and number of dissected lymph nodes. Total blood loss and thoracic estimated blood loss were significantly lower in Group P than Group L. Furthermore, postoperative pulmonary complications, intensive care unit stay, and hospital stay were significantly lower in Group P.

Conclusion

Thoracoscopic esophagectomy in the prone position is feasible and safe. The prone position technique may be superior to conventional lateral decubitus position esophagectomy.
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Metadaten
Titel
Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy
verfasst von
Jin Teshima
Go Miyata
Takashi Kamei
Toru Nakano
Shigeo Abe
Kazunori Katsura
Yusuke Taniyama
Tadashi Sakurai
Makoto Hikage
Takanobu Nakamura
Kai Takaya
Masashi Zuguchi
Hiroshi Okamoto
Ozawa Youhei
Noriaki Ohuchi
Publikationsdatum
01.09.2015
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 9/2015
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-014-4003-y

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