Surgical Technique

Thoracoscopic-laparoscopic esophagectomy and two-field lymph node dissection

Kun-Kun Li, Yin-Jian Wang, Xue-Hai Liu, Wei Guo


Minimally invasive esophagectomy (MIE) has been performed with increasing frequency worldwide since Cuschieri et al. first reported a thoracoscopic mobilization of the esophagus (1). As one of the most common MIE procedures, thoracoscopic-laparoscopic esophagectomy (TLE) is performed on 38.3% of those patients with advanced cancer according to the latest report of the Japanese Association for Thoracic Surgery, and the number of surgeries performed for superficial or advanced cancer has recently been increasing (2). Indeed, having an experienced surgeon can be a predictive factor of better postoperative outcomes of esophagectomy, due to better lymph node retrieval, less blood loss, and shorter operation duration (3-5). The aim of this study was to contribute to the standardization of esophagectomy in esophageal cancer (EC) by showing the procedures of TLE and two-field lymph node dissection (EC).

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