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Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy

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Abstract

Background

Prone thoracoscopic esophagectomy was introduced at our institution from 2012. This study describes our experiences of the main differences between thoracoscopic esophagectomy in the prone and traditional left lateral decubitus positions together with an analysis of the short-term surgical outcomes.

Method

In total, 87 patients undergoing thoracoscopic esophagectomy between January 2012 and October 2013 at Tohoku University Hospital were enrolled; of these, 54 and 33 patients were operated in the prone (Group P) and lateral decubitus (Group L) positions, respectively.

Results

The background of the patients was similar, and there was no in-hospital mortality. There were no significant differences between the groups in terms of whole surgical duration, thoracic duration, and number of dissected lymph nodes. Total blood loss and thoracic estimated blood loss were significantly lower in Group P than Group L. Furthermore, postoperative pulmonary complications, intensive care unit stay, and hospital stay were significantly lower in Group P.

Conclusion

Thoracoscopic esophagectomy in the prone position is feasible and safe. The prone position technique may be superior to conventional lateral decubitus position esophagectomy.

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Disclosures

Drs. Jin Teshima, Miyata GO, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Takanobu Nakamura, Kai Takaya, Masashi Zuguchi, Hiroshi Okamoto, Youhei Ozawa, and Noriaki Ohuchi have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Division of Advanced Surgical Science and Technology, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi-ken, 980-8575, Japan

    Jin Teshima, Go Miyata, Takashi Kamei, Toru Nakano, Shigeo Abe, Kazunori Katsura, Yusuke Taniyama, Tadashi Sakurai, Makoto Hikage, Takanobu Nakamura, Kai Takaya, Masashi Zuguchi, Hiroshi Okamoto & Ozawa Youhei

  2. Division of Surgical Oncology, Tohoku University Graduate School of Medicine, Sendai-shi, Miyagi-ken, Japan

    Noriaki Ohuchi

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  1. Jin Teshima
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  2. Go Miyata
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  3. Takashi Kamei
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  4. Toru Nakano
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  5. Shigeo Abe
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  6. Kazunori Katsura
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  7. Yusuke Taniyama
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  8. Tadashi Sakurai
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  9. Makoto Hikage
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  10. Takanobu Nakamura
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  11. Kai Takaya
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  12. Masashi Zuguchi
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  13. Hiroshi Okamoto
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  14. Ozawa Youhei
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  15. Noriaki Ohuchi
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Corresponding author

Correspondence to Jin Teshima.

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Teshima, J., Miyata, G., Kamei, T. et al. Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy. Surg Endosc 29, 2756–2762 (2015). https://doi.org/10.1007/s00464-014-4003-y

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  • DOI: https://doi.org/10.1007/s00464-014-4003-y

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