Minimally invasive esophagectomy performed with the patient in a prone position: a systematic review

Surgery Today ◽  
2015 ◽  
Vol 46 (3) ◽  
pp. 275-284 ◽  
Author(s):  
Kazuo Koyanagi ◽  
Soji Ozawa ◽  
Yuji Tachimori
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Prone Position ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy

scholarly journals Minimally invasive esophagectomy: Preservation of arch of Azygos vein in prone position

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Madhabananda Kar ◽  
Mohammed Imaduddin ◽  
DillipK Muduly ◽  
Mahesh Sultania ◽  
Tim Houghton ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prone Position ◽  
Minimally Invasive Esophagectomy ◽  
Azygos Vein ◽  
Invasive Esophagectomy

Minimally invasive oesophagectomy in the prone versus lateral decubitus position: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Dimitrios Schizas ◽  
Dimitrios Papaconstantinou ◽  
Anastasia Krompa ◽  
Antonios Athanasiou ◽  
Tania Triantafyllou ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Meta Analysis ◽  
Lateral Decubitus Position ◽  
Prone Positioning ◽  
Respiratory Complications ◽  
Invasive Esophagectomy ◽  
Postoperative Respiratory Complications ◽  
Lateral Decubitus

Abstract The thoracic phase of minimally invasive esophagectomy was initially performed in the lateral decubitus position (LDP); however, many experts have gradually transitioned to a prone position (PP) approach. The aim of the present systematic review and meta-analysis is to quantitatively compare the two approaches. A systematic literature search of the MEDLINE, Embase, Google Scholar, Web of Knowledge, China National Knowledge Infrastructure and ClinicalTrials.gov databases was undertaken for studies comparing outcomes between patients undergoing minimally invasive esophageal surgery in the PP versus the LDP. In total, 15 studies with 1454 patients (PP; n = 710 vs. LDP; n = 744) were included. Minimally invasive esophagectomy in the PP provides statistically significant reduction in postoperative respiratory complications (Risk ratios 0.5, 95% confidence intervals [CI] 0.34–0.76, P < 0.001), blood loss (weighted mean differences [WMD] –108.97, 95% CI –166.35 to −51.59 mL, P < 0.001), ICU stay (WMD –0.96, 95% CI –1.7 to −0.21 days, P = 0.01) and total hospital stay (WMD –2.96, 95% CI –5.14 to −0.78 days, P = 0.008). In addition, prone positioning increases the overall yield of chest lymph node dissection (WMD 2.94, 95% CI 1.54–4.34 lymph nodes, P < 0.001). No statistically significant difference in regards to anastomotic leak rate, mortality and 5-year overall survival was encountered. Subgroup analysis revealed that the protective effect of prone positioning against pulmonary complications was more pronounced for patients undergoing single-lumen tracheal intubation. A head to head comparison of minimally invasive esophagectomy in the prone versus the LDP reveals superiority of the former method, with emphasis on the reduction of postoperative respiratory complications and reduced length of hospitalization. Long-term oncologic outcomes appear equivalent, although validation through prospective studies and randomized controlled trials is still necessary.

scholarly journals Thoracic duct identification with indocyanine green fluorescence during minimally invasive esophagectomy with patient in prone position

2020 ◽  
Vol 33 (12) ◽  
Author(s):  
Massimo Vecchiato ◽  
Antonio Martino ◽  
Massimo Sponza ◽  
Alessandro Uzzau ◽  
Antonio Ziccarelli ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Indocyanine Green ◽  
Prone Position ◽  
Thoracic Duct ◽  
Minimally Invasive Esophagectomy ◽  
Standard Procedure ◽  
Transthoracic Esophagectomy ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Invasive Esophagectomy

Abstract Chylothorax is a serious complication of transthoracic esophagectomy. Intraoperative thoracic duct (TD) identification represents a possible tool for preventing or repairing its lesions, and it is most of the time difficult, even during high-definition thoracoscopy. The aim of the study is to demonstrate the feasibility of using near-infrared fluorescence-guided thoracoscopy to identify TD anatomy and check its intraoperative lesions during minimally invasive esophagectomy. A 0.5 mg/kg solution of indocyanine green (ICG) was injected percutaneously in the inguinal nodes of 19 patients undergoing minimally invasive esophagectomy in a prone position, before thoracoscopy. TD anatomy and potential intraoperative lesions were checked with the KARL STORZ OPAL1® Technology. In all of the 19 patients where transthoracic esophagectomy was feasible, the TD was clearly identified after a mean of 52.7 minutes from injection time. The TD was cut for oncological radicality in two patients, and it was successfully ligated under the ICG guide. No postoperative chylothorax or adverse reactions from the ICG injection occurred. The TD identification with indocyanine green fluorescence during minimally invasive esophagectomy is a simple, effective, and non-time-demanding tool; it may become a standard procedure to prevent postoperative chylothorax.

scholarly journals McKeown or Ivor Lewis totally minimally invasive esophagectomy for cancer of the esophagus and gastroesophageal junction: systematic review and meta-analysis

2017 ◽  
Vol 9 (S8) ◽  
pp. S826-S833 ◽  
Author(s):  
Frans van Workum ◽  
Gijs H. Berkelmans ◽  
Bastiaan R. Klarenbeek ◽  
Grard A. P. Nieuwenhuijzen ◽  
Misha D. P. Luyer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Meta Analysis ◽  
Gastroesophageal Junction ◽  
Ivor Lewis ◽  
Invasive Esophagectomy ◽  
Cancer Of The Esophagus ◽  
Esophagectomy For Cancer

scholarly journals Minimally invasive esophagectomy in the lateral-prone position: Experience of 124 cases in a single center

2017 ◽  
Vol 9 (1) ◽  
pp. 37-43 ◽  
Author(s):  
Shaohua Ma ◽  
Tianshen Yan ◽  
Dandan Liu ◽  
Keyi Wang ◽  
Jingdi Wang ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prone Position ◽  
Minimally Invasive Esophagectomy ◽  
Single Center ◽  
Invasive Esophagectomy

Technical and perioperative outcomes of minimally invasive esophagectomy in the prone position

2012 ◽  
Vol 27 (2) ◽  
pp. 553-557 ◽  
Author(s):  
Ross F. Goldberg ◽  
Steven P. Bowers ◽  
Michael Parker ◽  
John A. Stauffer ◽  
Horacio J. Asbun ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prone Position ◽  
Minimally Invasive Esophagectomy ◽  
Perioperative Outcomes ◽  
Invasive Esophagectomy

Minimally invasive esophagectomy: Lateral decubitus vs. prone positioning; systematic review and pooled analysis

2015 ◽  
Vol 24 (3) ◽  
pp. 212-219 ◽  
Author(s):  
Sheraz R. Markar ◽  
Tom Wiggins ◽  
Stefan Antonowicz ◽  
Emmanouil Zacharakis ◽  
George B. Hanna
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Pooled Analysis ◽  
Prone Positioning ◽  
Invasive Esophagectomy ◽  
Lateral Decubitus
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