Thoracoscopic esophagectomy combined with mediastinoscopy via the neck |
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Authors: | Ikeda Yoshifumi Niimi Masanori Kan Shigenao Takami Hiroshi Kodaira Susumu |
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Affiliation: | Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan. yikeda@med.teikyo-u.ac.jp |
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Abstract: | Although thoracoscopic techniques have been introduced to esophageal surgery, the identification of the left recurrent laryngeal nerve and lymph node dissection along the nerve remain quite difficult. A mediastinoscopic technique via the neck enables an excellent visual field to be created in the upper mediastinum, especially near the left recurrent laryngeal nerve. Therefore, a thoracoscopic esophagectomy combined with this technique allows mediastinal lymph nodes along the left recurrent laryngeal nerve to be easily and safely dissected. |
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