Endoscopic oesophagectomy through a right thoracoscopic approach.
A technique of subtotal endoscopic oesophagectomy through the right thoracoscopic approach is described. It has been used in five patients, four with cancer and one with benign motility disorder. The operative blood loss during the endoscopic dissection stage was unmeasurable in four patients and amounted to 300 ml in one. The mean (range) duration of the endoscopic dissection was 3.3 (3.0-4.0) h and of the total procedure was 5.5 (4.5-7.5) h. After the operation, the mean (range) duration of stay in the intensive care unit was 19.5 (16-26) h. From the time of the operation, the mean (range) hospital stay was 11 (8-18) days. One patient developed left vocal cord palsy which prolonged this.
Cuschieri
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Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, UK.
Shimi
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Banting
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S
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology