title: Three-field minimally invasive esophagectomy: current results and technique.
abstract: The adoption of minimally invasive esophagectomy has increased worldwide since its first description more than 15 years ago. The technique has evolved from a transhiatal to a 3-hole McKeowan approach and, more recently, to a minimally invasive Ivor Lewis approach. We reviewed the technique and results of 3-hole minimally invasive esophagectomy. We favor thoracoscopic esophageal mobilization with the patient in a lateral decubitus position, although other groups have reported this with a prone or robotic approach. Several series have demonstrated low perioperative mortality with minimally invasive esophagectomy. A major advantage compared with esophagectomy with thoracotomy is a lower incidence of respiratory complications, which have been shown to be a significant predictor of mortality in other studies.
authors: Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31403, USA. yaronperry@rocketmail.com
authors: Yaron
authors: Y
authors: Perry
authors: Hiran C
authors: HC
authors: Fernando
mesh_terms: D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D056888:Patient Positioning; D011183:Postoperative Complications / Q000209:etiology; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects; D016896:Treatment Outcome