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Uniportal video-assisted thoracoscopic Ivor Lewis oesophagectomy

Standard minimally invasive Ivor Lewis oesophagectomy is performed through a multiport technique using carbon dioxide. However, access to video-assisted thoracoscopic surgery (VATS) is increasingly shifting to a single-port approach due to its proven safety and efficacy in lung surgeries. Therefore,...

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Detalles Bibliográficos
Autores principales: Rajan, Shiv, Kumar, Vijay, Chaturvedi, Arun, Chaudhary, Ajay Kumar, Gonzalez-Rivas, Diego
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449049/
https://www.ncbi.nlm.nih.gov/pubmed/37282442
http://dx.doi.org/10.4103/jmas.jmas_356_22
Descripción
Sumario:Standard minimally invasive Ivor Lewis oesophagectomy is performed through a multiport technique using carbon dioxide. However, access to video-assisted thoracoscopic surgery (VATS) is increasingly shifting to a single-port approach due to its proven safety and efficacy in lung surgeries. Therefore, the preamble of this submission is to describe, ‘How I do differently’ uniportal VATS MIO in three major steps: (a) VATS dissection through a single 4-cm incision in a semi-prone position without artificial capnothorax; (b) fluorescence dye to check conduit perfusion and (c) intrathoracic overlay anastomosis with a linear stapler.