Combined thoracoscopic and laparoscopic esophagectomy

Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented.

Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out in the left lateral position using 5 thoracoports combined with a 5cm mini-thoracotomy. The patient was then placed in the supine position. Laparoscopic gastric mobilization together with celiac lymphadenectomy was performed. Intestinal continuity was reconstituted by a narrow gastric tube delivered to tne left neck via the posterior mediastinal route. Blood loss was 150ml, and the operation time was 6.5 hours. The patient’s postoperative recovery was smooth and without complication.

Combined thoracoscopic and laparoscopic esophagectomy with two-field lymphadenectomy is an alternative to open esophagectomy in selected patients.

Session: Podium Video Presentation

Program Number: V049

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