Thoracoscopic Esophagectomy in Prone Position; A Cross-Sectional Study

Abstract

Abstract Background: Surgical resection with curative intention is still a central therapeutic option for resectable esophageal cancer. Thoracoscopic esophagectomy in prone position would give each benefit of the lateral position. The present research aimed to analyze the short-term outcomes of thoracoscopic esophagectomy in prone position. Methods: This was a retrospective cross-sectional study. Patients who underwent thoracoscopic esophagectomy in prone position at Tehran University Cancer institute during January 2017 to December 2018 entered the study. Esophagus was mobilized through the thoracoscopic approach in a prone position. Stomach was released using a laparoscopic approach for gastric pull-up. Finally, an end-to-end hand-sewn cervical anastomosis was performed. Results Three, four, seven, one and one patients suffered from pneumonia, leakage, tracheal tearing, chylothorax and pneumothorax, respectively after the operation. In 91.5% of patients, more than 10 lymph nodes were resected. Sixty percent of patients were discharged from the hospital earlier than one week. Conclusions laparoscopic esophagectomy in prone position is a feasible alternative. Better exposure and fewer complications were reported. Thoracoscopy; Esophagectomy; Prone Position

Keywords

• Thoracoscopy
• Esophagectomy
• Prone Position