Skip to main content
main-content

28.09.2018 | Innovative Surgical Techniques Around the World | Ausgabe 2/2019

World Journal of Surgery 2/2019

Single-Port Thoracoscopic Minimally Invasive Esophagectomy for Esophageal Cancer

Zeitschrift:
World Journal of Surgery > Ausgabe 2/2019
Autoren:
Weipeng Hu, Yong Yuan, Longqi Chen
Wichtige Hinweise
The article was presented at 14th World Conference of OESO, 2017, Geneva.

Abstract

Background

This study was to explore the safety and feasibility of single-port thoracoscopic esophagectomy for esophageal cancer.

Methods

The patients were placed in left lateral prone position, and a 4-cm incision through the 4th–5th intercostal space was taken on the post-axillary line. Except for a surgical wound protector, no other special instruments were used for single-port technique. The 10-mm camera and two or three thoracoscopic instruments were used for the thoracic phase. Mobilization of stomach with celiac lymph node dissection was performed via multiple-port laparoscopic approach. Cervical double-layered anastomosis was completed by hand-sewn technique.

Results

A total of twenty-eight patients with esophageal squamous cell carcinoma underwent the single-port thoracoscopic surgery. All of the patients underwent R0 resection. The median time taken for thoracic phase and total operation time were 126 min (range, 121–153) and the 253 min (range, 197–309), respectively. The median number of resected thoracic lymph nodes was 16 (range, 12–24). There were no deaths or severe postoperative complications in this study, with no conversion of minimally invasive surgery to open procedure.

Conclusions

Our preliminary results demonstrate that this technique is safe and feasible for treating esophageal cancer within an acceptable length of operation time, which does not compromise the surgical radicality.

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

★ PREMIUM-INHALT
e.Med Interdisziplinär

Mit e.Med Interdisziplinär erhalten Sie Zugang zu allen CME-Fortbildungen und Fachzeitschriften auf SpringerMedizin.de. Zusätzlich können Sie eine Zeitschrift Ihrer Wahl in gedruckter Form beziehen – ohne Aufpreis.

Jetzt e.Med zum Sonderpreis bestellen!

Weitere Produktempfehlungen anzeigen
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 2/2019

World Journal of Surgery 2/2019 Zur Ausgabe
  1. Sie können e.Med Chirurgie 14 Tage kostenlos testen (keine Print-Zeitschrift enthalten). Der Test läuft automatisch und formlos aus. Es kann nur einmal getestet werden.


 

Neu im Fachgebiet Chirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise