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Video-assisted thoracolaparoscopic esophagectomy: the experience of Shanghai Chest Hospital
Authors:Teng Mao  Wentao Fang  Zhitao Gu  Xufeng Guo  Chunyu Ji  Wenhu Chen
Institution:Department of Thoracic Surgery, Shanghai Chest Hospital, School of medicine, Shanghai Jiao Tong University, Shanghai 200030, China
Abstract:The traditional open esophagectomy is associated with higher morbidity, while minimally invasive procedures could be accompanied with a lower one. In this case, the patient is placed in the prone-decubitus position and the surgeon stands in front of the patient. The “four ports” approach is adopted in the thoracoscopic procedure with CO2 insufflation, and the esophagus and lymph nodes are dissected. In the laparoscopic procedure, “hand assistant technique” is employed. The esophagogastric anastomosis is similar with McKeown procedure.KEYWORDS : Esophageal cancer, esophagectomy, thoracoscopy, laparoscopy
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