• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Video Assisted Esophagectomy With Extensive Lymphadenectomy for Thoracic Esophageal Cancer

Toshiaki Shichinohe, MD PhD, Kentaro Kato, MD PhD, Akihiro Matsunaga, MD PhD, Satoshi Hayama, MD PhD, Takahiro Tsuchikawa, MD PhD, Joe Matsumoto, MD PhD, Takehiro Noji, MD PhD, Norihiro Takemoto, MD PhD, Yoshinori Suzuki, MD PhD, Hiroyuki Kaneko, MD PhD, Eiichi Tanaka, MD PhD, Satoshi Hirano, MD PhD. Gastrointestinal Surgery II, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

 

Introduction
Video assisted thoracoscopic surgery (VATS) for thoracic esophageal cancer is an advanced surgical technique.
To accomplish extensive lymphadenectomy of paraesophageal and paratracheal lymph nodes as well as esophageal removal, we apply two different operation procedures; Hand assisted thoracoscopic surgery (HATS) is our standard procedure for thoracic esophageal cancer which is substitute for conventional open thoracotomy; Prone position esophagectomy (Prone) is newly applied operative procedure especially for the lower thoracic esophageal cancer cases. By applying these two operative procedures, over 90% of operation cases of esophageal cancer are able to be completed thoracoscopically.

Methods and procedures
VATS three-stage esophagectomy with extensive lymphadenectomy was performed by HATS or Prone procedure with gastric tube reconstruction and the cervical anastomosis.
HATS: The left lateral decubitus position is used for HATS. Assistant surgeon inserts his left hand into the right thoracic cavity from the abdominal incision through the anterior phreno-mediastial route. Retraction of the lung and trachea are thus done manually with the hand of the assistant. The abdominal incision is then used for hand assisted laparoscopic surgery (HALS).
The advantage of HATS is the gentle retraction of the lung from the caudal side of the thorax, thus obviating the need for lung retractors. Furthermore, this procedure allows the surgeon’s hand to use its sense of touch within the thoracic cavity, which can also confirm whether or not the tumor has invaded the surrounding organs such as the trachea.
Prone: Patient placed by the prone position. By this positioning with positive CO2 pressure to the thoracic cavity, the right lung falls away from the operative field both by gravity and the artificial pneumothorax, a good visual exposure of the esophagus without assistant’s help.
The advantage of this procedure is the superior visualization of the lower mediastinum. Thus, lower esophageal cancer case is the good applicant for this operation.

Results
Since 1996, we experienced 134 cases of VATS esophagectomy, which includes 103 cases of HATS and 7 cases of Prone.
The average of the amount of blood loss was 840mL, and the operation time of thoracic approach was 252min. In hospital mortality rate was 1.5%.

Conclusion
Video assisted esophagectomy with extensive lymphadenectomy for thoracic esophageal cancer is feasible procedure in term of the less invasive surgery.
 


Session Number: Poster – Poster Presentations
Program Number: P543
View Poster

1,861

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons