TY  - JOUR
AU  - Zhu, Yunke
AU  - Ma, Lin
AU  - Liu, Lunxu
AU  - Lin, Yidan
PY  - 2019
TI  - Application of full lateral decubitus position with cephalic parallel  approach in robotic-assisted minimally invasive esophagectomy
JF  - Journal of Thoracic Disease; Vol 11, No 8 (August 31, 2019): Journal of Thoracic Disease
Y2  - 2019
KW  - 
N2  - Background: To overcome the technical shortcomings of robot-assisted minimally invasive esophagectomy (RAMIE), we designed an optimized approach called full lateral position with cephalic-parallel approach for this technique.  Methods: We described and demonstrated the details regarding the full lateral position with cephalic-parallel approach for mobilization of the esophagus and mediastinal lymphadenectomy. On the basis of the location and T stage of esophageal cancer, a disease-specific resection process was also designed and introduced. Ten of our latest RAMIE procedures were performed using this approach. Perioperative data were collected and analyzed.   Results: The mean duration of the entire RAMIE procedure was 381.0±57.5 min. Two (20%) patients suffered from postoperative hoarseness. The mean total number of lymph nodes dissected was 22.4±4.0, and the mean number of positive lymph nodes dissected was 2.0±2.7.  Conclusions: The newly designed full lateral position with cephalic-parallel approach, which makes the procedure highly convenient, is technically feasible for RAMIE.
UR  - https://jtd.amegroups.org/article/view/31040