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J Thorac Cardiovasc Surg. 2012 Sep;144(3):S63-6. doi: 10.1016/j.jtcvs.2012.06.002. Epub 2012 Jun 27.

Three-field minimally invasive esophagectomy: current results and technique.

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1
Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31403, USA. yaronperry@rocketmail.com

Abstract

The adoption of minimally invasive esophagectomy has increased worldwide since its first description more than 15 years ago. The technique has evolved from a transhiatal to a 3-hole McKeowan approach and, more recently, to a minimally invasive Ivor Lewis approach. We reviewed the technique and results of 3-hole minimally invasive esophagectomy. We favor thoracoscopic esophageal mobilization with the patient in a lateral decubitus position, although other groups have reported this with a prone or robotic approach. Several series have demonstrated low perioperative mortality with minimally invasive esophagectomy. A major advantage compared with esophagectomy with thoracotomy is a lower incidence of respiratory complications, which have been shown to be a significant predictor of mortality in other studies.

PMID:
22743173
DOI:
10.1016/j.jtcvs.2012.06.002
[Indexed for MEDLINE]
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