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A bilateral thoracic approach for esophageal cancer in the prone position

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Abstract

Esophagectomy in the prone position has recently been introduced as a less-invasive procedure for treating esophageal cancer. We herein present a case of esophageal squamous cell carcinoma (ESCC) treated with a bilateral thoracic approach in the prone position. The patient was a 69-year-old male diagnosed with middle thoracic ESCC. Computed tomography scans and fluorine-18-fluorodeoxyglucose revealed possible metastasis to the lymph nodes on the left dorsal side of the descending thoracic aorta (DTA). After preoperative chemotherapy, we dissected the lymph node metastasis on the left dorsal DTA using the left thoracic approach, following resection of the ESCC by a right thoracic approach in the same prone position. The postoperative course was uneventful, and the patient was discharged 23 days after surgery. A bilateral thoracic approach for esophageal cancer in the prone position may be a new option for surgically treating esophageal cancer.

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Acknowledgments

We received research grants from the Japanese Ministry of Education, Culture, Sports, Science and Technology (MEXT/JSPS KAKENHI Grant Number B: 23390320). We thank Mr. David A Coolidge for editing the English of the manuscript.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery and Science, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, Sugitani 2630, Toyama, 930-0194, Japan

    Yutaka Shimada & Kazuhiro Tsukada

  2. Department of Surgery, Murakami Memorial Hospital, Asahi University, Hashimoto-cho 3-23, Gifu, 500-8523, Japan

    Atsushi Kawabe, Sanae Nakajima, Koichiro Hata, Yuwa Takahashi & Makoto Kume

Authors
  1. Yutaka Shimada
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  2. Atsushi Kawabe
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  3. Sanae Nakajima
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  4. Koichiro Hata
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  5. Yuwa Takahashi
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  6. Makoto Kume
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  7. Kazuhiro Tsukada
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Corresponding author

Correspondence to Yutaka Shimada.

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Shimada, Y., Kawabe, A., Nakajima, S. et al. A bilateral thoracic approach for esophageal cancer in the prone position. Surg Today 45, 91–95 (2015). https://doi.org/10.1007/s00595-013-0738-7

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  • DOI: https://doi.org/10.1007/s00595-013-0738-7

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