Uniportal video-assisted thoracoscopic Ivor Lewis oesophagectomy

Standard minimally invasive Ivor Lewis oesophagectomy is performed through a multiport technique using carbon dioxide. However, access to video-assisted thoracoscopic surgery (VATS) is increasingly shifting to a single-port approach due to its proven safety and efficacy in lung surgeries. Therefore,...

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Bibliographic Details
Published in:Journal of Minimal Access Surgery
Main Authors: Shiv Rajan, Vijay Kumar, Arun Chaturvedi, Ajay Kumar Chaudhary, Diego Gonzalez-Rivas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Subjects:
carbon dioxide
oesophagus
indocyanine green
intrathoracic
single port
stapler
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2023;volume=19;issue=3;spage=450;epage=452;aulast=Rajan
Description
Summary:Standard minimally invasive Ivor Lewis oesophagectomy is performed through a multiport technique using carbon dioxide. However, access to video-assisted thoracoscopic surgery (VATS) is increasingly shifting to a single-port approach due to its proven safety and efficacy in lung surgeries. Therefore, the preamble of this submission is to describe, 'How I do differently' uniportal VATS MIO in three major steps: (a) VATS dissection through a single 4-cm incision in a semi-prone position without artificial capnothorax; (b) fluorescence dye to check conduit perfusion and (c) intrathoracic overlay anastomosis with a linear stapler.
ISSN:0972-9941
1998-3921

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