التفاصيل البيبلوغرافية
| العنوان: |
VS03.09: PRONE POSITION THORACOSCOPIC ESOPHAGECTOMY WITH INTRATHORACIC ESOPHAGOGASTRIC ANASTOMOSIS. |
| المؤلفون: |
Sancho-Muriel, Jorge, Mingol, Fernando, Nuñez, Ruth, Vaqué, Javier, Jesús, Milton De, Cholewa, Hanna, García, Rafael, García-Granero, Eduardo |
| المصدر: |
Diseases of the Esophagus; Sep2018, Vol. 31 Issue 13, p49-49, 1p |
| مصطلحات موضوعية: |
THORACOTOMY, POSTOPERATIVE care, ESOPHAGECTOMY, LYMPHOID tissue, LYMPHADENECTOMY, INTUBATION |
| مستخلص: |
Description New minimally invasive techniques in esophageal surgery have shown promising results in postoperative care, reducing morbidity such as postoperative pain, respiratory complications due to thoracotomy and length of hospital stay among others, especially by the use of a thoracoscopic approach in the prone position. One of the reasons that limits the use of this technique the most is the intrathoracic thoracoscopic anastomosis, which is a very demanding procedure and the failure of which implicates high mortality. This video presents a thoracoscopic Ivor-Lewis esophagectomy in prone position, without selective intubation. We perform an en bloc esophagectomy with the resection of both pleuras and all of the lymphatic and adipose tissue around the esophagus up to the aortic plane, with an additional infracarinal lymphadenectomy. The subsequent reconstruction is an intrathoracic esophagogastric anastomosis using an Orvil® device and a manual tobacco-pouch suture to fit the head of the circular endostapler. This suture is reinforced by a laparoscopic endoloop. To perform this technique it is mandatory to make an assistance minithoracotomy for the placement of a gelport that allows the surgical specimen extraction and the placement of the circular endostapler without losing the pneumothorax, crucial for the surgical intervention. The aim of this video is to present step by step the thoracoscopic part of a minimally invasive, Ivor-Lewis subtotal esophagectomy, using the Orvil® device to perform the intrathoracic anastomosis. Disclosure All authors have declared no conflicts of interest. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
