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The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy

It has been described as a new non-transthoracic esophagectomy that the single-port inflatable mediastinoscopy and laparoscopic surgery is safe and effective for the radical esophagectomy of esophageal cancer. This report describes the whole procedure in detail. The patient lies in the supine positi...

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Autores principales: Wang, Xiaojin, Li, Xiaojian, Huo, Wenwen, Cheng, Hua, Zhang, Bin, Zhong, Hongcheng, Wang, Ruiqi, Cao, Qingdong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794396/
https://www.ncbi.nlm.nih.gov/pubmed/35118250
http://dx.doi.org/10.21037/med.2019.05.01
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author Wang, Xiaojin
Li, Xiaojian
Huo, Wenwen
Cheng, Hua
Zhang, Bin
Zhong, Hongcheng
Wang, Ruiqi
Cao, Qingdong
author_facet Wang, Xiaojin
Li, Xiaojian
Huo, Wenwen
Cheng, Hua
Zhang, Bin
Zhong, Hongcheng
Wang, Ruiqi
Cao, Qingdong
author_sort Wang, Xiaojin
collection PubMed
description It has been described as a new non-transthoracic esophagectomy that the single-port inflatable mediastinoscopy and laparoscopic surgery is safe and effective for the radical esophagectomy of esophageal cancer. This report describes the whole procedure in detail. The patient lies in the supine position with the legs apart. The procedure is performed under general anesthesia with a single lumen endotracheal tube. For upper mediastinal operation, a lateral incision of the clavicle was made about 3 cm; for laparoscopic operation, the incisions of 5 ports for the laparoscopic operation. CO(2) insufflation is performed into the mediastinum with 10 mmHg to make artificial mediastinal emphysema. The Maryland forceps is used to perform separation before dissection. In the non-transthoracic esophagectomy, it is essential to expose the recurrent laryngeal nerve and the azygos vein. The lymph nodes around the esophagus were removed in en bloc. Maintaining double lung ventilation during surgery can significantly reduce carbon dioxide accumulation, especially for those with reduced lung function or severe pleural adhesion. Furthermore, it saves much time that upper mediastinal operation and laparoscopic operation are undergone simultaneously. It is a perfect surgical technique that is worth to promote.
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spelling pubmed-87943962022-02-02 The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy Wang, Xiaojin Li, Xiaojian Huo, Wenwen Cheng, Hua Zhang, Bin Zhong, Hongcheng Wang, Ruiqi Cao, Qingdong Mediastinum Surgical Technique It has been described as a new non-transthoracic esophagectomy that the single-port inflatable mediastinoscopy and laparoscopic surgery is safe and effective for the radical esophagectomy of esophageal cancer. This report describes the whole procedure in detail. The patient lies in the supine position with the legs apart. The procedure is performed under general anesthesia with a single lumen endotracheal tube. For upper mediastinal operation, a lateral incision of the clavicle was made about 3 cm; for laparoscopic operation, the incisions of 5 ports for the laparoscopic operation. CO(2) insufflation is performed into the mediastinum with 10 mmHg to make artificial mediastinal emphysema. The Maryland forceps is used to perform separation before dissection. In the non-transthoracic esophagectomy, it is essential to expose the recurrent laryngeal nerve and the azygos vein. The lymph nodes around the esophagus were removed in en bloc. Maintaining double lung ventilation during surgery can significantly reduce carbon dioxide accumulation, especially for those with reduced lung function or severe pleural adhesion. Furthermore, it saves much time that upper mediastinal operation and laparoscopic operation are undergone simultaneously. It is a perfect surgical technique that is worth to promote. AME Publishing Company 2019-06-11 /pmc/articles/PMC8794396/ /pubmed/35118250 http://dx.doi.org/10.21037/med.2019.05.01 Text en 2019 Mediastinum. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.
spellingShingle Surgical Technique
Wang, Xiaojin
Li, Xiaojian
Huo, Wenwen
Cheng, Hua
Zhang, Bin
Zhong, Hongcheng
Wang, Ruiqi
Cao, Qingdong
The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title_full The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title_fullStr The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title_full_unstemmed The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title_short The procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
title_sort procedure of single-port inflatable mediastinoscopy and laparoscopic surgery for radical esophagectomy
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794396/
https://www.ncbi.nlm.nih.gov/pubmed/35118250
http://dx.doi.org/10.21037/med.2019.05.01
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