日本医科大学医学会雑誌
Online ISSN : 1880-2877
Print ISSN : 1349-8975
ISSN-L : 1349-8975
臨床医のために
腹臥位胸腔鏡下食道切除術
松谷 毅内田 英二丸山 弘西川 晃司山田 光輝笹島 耕二
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2009 年 5 巻 4 号 p. 211-214

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We introduce a new technique of thoracoscopic esophagectomy with the patient in the prone position. The prone position allows mobilization of the esophagus and lymphadenectomy with only 5 trocars because the deflated lung does not block access. Stomach mobilization and gastric tube creation are performed by means of laparoscopy with the patient in the supine position. The esophagogastric anastomosis is an end-to-side anastomosis performed through a left cervical incision. This technique could reduce postoperative pain and morbidity.
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© 2009 日本医科大学医学会
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