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01-09-2015

Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy

Authors: Jin Teshima, Go Miyata, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Takanobu Nakamura, Kai Takaya, Masashi Zuguchi, Hiroshi Okamoto, Ozawa Youhei, Noriaki Ohuchi

Published in: Surgical Endoscopy | Issue 9/2015

Abstract

Background

Prone thoracoscopic esophagectomy was introduced at our institution from 2012. This study describes our experiences of the main differences between thoracoscopic esophagectomy in the prone and traditional left lateral decubitus positions together with an analysis of the short-term surgical outcomes.

Method

In total, 87 patients undergoing thoracoscopic esophagectomy between January 2012 and October 2013 at Tohoku University Hospital were enrolled; of these, 54 and 33 patients were operated in the prone (Group P) and lateral decubitus (Group L) positions, respectively.

Results

The background of the patients was similar, and there was no in-hospital mortality. There were no significant differences between the groups in terms of whole surgical duration, thoracic duration, and number of dissected lymph nodes. Total blood loss and thoracic estimated blood loss were significantly lower in Group P than Group L. Furthermore, postoperative pulmonary complications, intensive care unit stay, and hospital stay were significantly lower in Group P.

Conclusion

Thoracoscopic esophagectomy in the prone position is feasible and safe. The prone position technique may be superior to conventional lateral decubitus position esophagectomy.

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Title: Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy
Authors: Jin Teshima
Go Miyata
Takashi Kamei
Toru Nakano
Shigeo Abe
Kazunori Katsura
Yusuke Taniyama
Tadashi Sakurai
Makoto Hikage
Takanobu Nakamura
Kai Takaya
Masashi Zuguchi
Hiroshi Okamoto
Ozawa Youhei
Noriaki Ohuchi
Publication date: 01-09-2015
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 9/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-4003-y

ACC 2024 Congress

Springer Medicine

Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy

Abstract

Background

Method

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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