Uniportal VATS Approach in Esophageal Cancer – How to Do It Update
The adoption of minimally invasive esophagectomy has been used for over a decade, and the chest part is evolving into a uniportal video-assisted thoracoscopic surgery (VATS) approach. Uniportal esophageal mobilization and anastomosis have many peculiar aspects, which include placement of the incisio...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2022.844796/full |
| _version_ | 1811332073005252608 |
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| author | Hasan Batirel |
| author_facet | Hasan Batirel |
| author_sort | Hasan Batirel |
| collection | DOAJ |
| description | The adoption of minimally invasive esophagectomy has been used for over a decade, and the chest part is evolving into a uniportal video-assisted thoracoscopic surgery (VATS) approach. Uniportal esophageal mobilization and anastomosis have many peculiar aspects, which include placement of the incision, alignment of instruments, and anastomosis. The incision is placed over the sixth intercostal space posterior axillary line. The esophagus is usually encircled at the level of the inferior pulmonary vein. The use of curved suction helps in the retraction of the esophagus and the exposure of the left main bronchus deep in the mediastinum. For intrathoracic anastomosis in Ivor Lewis esophagectomy, a completely side-to-side linear-stapled anastomosis is preferred. This anastomotic technique results in a long stapler line. The correct alignment of tissues and adequate anastomotic circumference are of utmost importance to prevent leaks or strictures. Perioperative and oncologic results in several series with uniportal VATS, esophageal mobilization, and anastomosis are comparable with open or other types of minimally invasive esophagectomy. Uniportal VATS for esophagectomy is feasible and fast with good results. |
| first_indexed | 2024-04-13T16:30:25Z |
| format | Article |
| id | doaj.art-51d3dc9f014e46f2a2f44573a7910f90 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-13T16:30:25Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-51d3dc9f014e46f2a2f44573a7910f902022-12-22T02:39:35ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2022-03-01910.3389/fsurg.2022.844796844796Uniportal VATS Approach in Esophageal Cancer – How to Do It UpdateHasan BatirelThe adoption of minimally invasive esophagectomy has been used for over a decade, and the chest part is evolving into a uniportal video-assisted thoracoscopic surgery (VATS) approach. Uniportal esophageal mobilization and anastomosis have many peculiar aspects, which include placement of the incision, alignment of instruments, and anastomosis. The incision is placed over the sixth intercostal space posterior axillary line. The esophagus is usually encircled at the level of the inferior pulmonary vein. The use of curved suction helps in the retraction of the esophagus and the exposure of the left main bronchus deep in the mediastinum. For intrathoracic anastomosis in Ivor Lewis esophagectomy, a completely side-to-side linear-stapled anastomosis is preferred. This anastomotic technique results in a long stapler line. The correct alignment of tissues and adequate anastomotic circumference are of utmost importance to prevent leaks or strictures. Perioperative and oncologic results in several series with uniportal VATS, esophageal mobilization, and anastomosis are comparable with open or other types of minimally invasive esophagectomy. Uniportal VATS for esophagectomy is feasible and fast with good results.https://www.frontiersin.org/articles/10.3389/fsurg.2022.844796/fulluniportal and tubeless video-assisted thoracic surgeryesophagectomyside to side anastomosisvideothoracoscopic surgeryIvor Lewis minimally invasive esophagectomy |
| spellingShingle | Hasan Batirel Uniportal VATS Approach in Esophageal Cancer – How to Do It Update Frontiers in Surgery uniportal and tubeless video-assisted thoracic surgery esophagectomy side to side anastomosis videothoracoscopic surgery Ivor Lewis minimally invasive esophagectomy |
| title | Uniportal VATS Approach in Esophageal Cancer – How to Do It Update |
| title_full | Uniportal VATS Approach in Esophageal Cancer – How to Do It Update |
| title_fullStr | Uniportal VATS Approach in Esophageal Cancer – How to Do It Update |
| title_full_unstemmed | Uniportal VATS Approach in Esophageal Cancer – How to Do It Update |
| title_short | Uniportal VATS Approach in Esophageal Cancer – How to Do It Update |
| title_sort | uniportal vats approach in esophageal cancer how to do it update |
| topic | uniportal and tubeless video-assisted thoracic surgery esophagectomy side to side anastomosis videothoracoscopic surgery Ivor Lewis minimally invasive esophagectomy |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2022.844796/full |
| work_keys_str_mv | AT hasanbatirel uniportalvatsapproachinesophagealcancerhowtodoitupdate |