Langenbecks Arch Surg (2017) 402:1159–1165 https://doi.org/10.1007/s00423-017-1637-y ORIGINAL ARTICLE Comparison between neck-first approach and thoracic approach during thoracoscopic esophagectomy 1 1 1 1 Hiroyuki Kitagawa & Tsutomu Namikawa & Jun Iwabu & Kazune Fujisawa & 2 1 Michiya Kobayashi & Kazuhiro Hanazaki Received: 13 July 2017 /Accepted: 1 November 2017 /Published online: 7 November 2017 Springer-Verlag GmbH Germany, part of Springer Nature 2017 . . Abstract Keywords Thoracoscopic esophagectomy Prone position Purpose This study aimed to compare the outcomes of the Cervical approach Esophageal cancer prior cervical and thoracic approaches of thoracoscopic esoph- agectomy in the prone position for esophageal cancer. Methods We reviewed the records of 103 consecutive patients Introduction who underwent thoracoscopic esophagectomy in the prone po- sition for esophageal cancer. Seventy-four patients underwent Esophagectomy is the main treatment for esophageal cancer; the prior cervical approach (Cervical group); the other 29 however, esophagectomy with radical lymphadenectomy was underwent the thoracic approach (Thoracic group). The periop- associated with high incidence of postoperative complica- erative outcomes of the two groups were compared. tions, including pneumonia and anastomotic leakage . To Results Total operative time and volume of blood loss were not reduce surgical stress and postoperative complications, different between the
Langenbeck's Archives of Surgery – Springer Journals
Published: Nov 7, 2017
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