title: Thoracoscopic esophagectomy in the prone position versus in the lateral position for patients with esophageal cancer: a comparison of short-term surgical results.
abstract: OBJECTIVE
  Thoracoscopic esophagectomy (TE) in the prone position for patients with esophageal cancer has received a great deal of attention. We retrospectively compared clinical outcomes and surgical stress of TE in the prone position (TE-P) and in the lateral position (TE-L) at our institution.
  
  
  METHODS
  A total of 58 consecutive patients (28 in the TE-L group and 30 in the TE-P group) were studied. Between the 2 groups, clinical outcomes and various parameters were compared.
  
  
  RESULTS
  There were no hospital deaths in both TEL and TEP groups. Blood loss during the thoracoscopic part of the surgery were significantly (P<0.01) lower in the TE-P group (118±72 mL) compared with the TE-L (245±203 mL) group. The incidence of respiratory complications tended to be lower (P=0.07) in the TE-P group (3.3%) than in the TE-L (17.8%) group. The duration of systemic inflammatory response syndrome condition was significantly (P=0.02) shorter in the TE-P group (1.5±2.5 d) than in TE-L (3.6±3.5 d) group. The levels of serum C-reactive protein on postoperative days 1 and 2 were significantly (P<0.01) lower in the TE-P group than in the TE-L group.
  
  
  CONCLUSIONS
  TE-P for patients with esophageal cancer was safe and feasible. TE-P might be a potentially less invasive procedure than TE-L.
authors.affiliation: *Department of Surgical Oncology, Osaka City University Graduate School of Medicine †Department of Gastroenterological Surgery, Osaka City General Hospital, Osaka, Japan.
authors.forename: Naoshi
authors.initials: N
authors.lastname: Kubo
authors.forename: Masaichi
authors.initials: M
authors.lastname: Ohira
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Katsunobu
authors.initials: K
authors.lastname: Sakurai
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Lee
authors.forename: Takahiro
authors.initials: T
authors.lastname: Toyokawa
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Tanaka
authors.forename: Kazuya
authors.initials: K
authors.lastname: Muguruma
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Kimura
authors.forename: Hisashi
authors.initials: H
authors.lastname: Nagahara
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Amano
authors.forename: Eiji
authors.initials: E
authors.lastname: Noda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ohtani
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yashiro
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Maeda
authors.forename: Kosei
authors.initials: K
authors.lastname: Hirakawa
mesh_terms: D016063:Blood Loss, Surgical; D002097:C-Reactive Protein / Q000032:analysis; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011183:Postoperative Complications; D011187:Posture; D016684:Prone Position; D018746:Systemic Inflammatory Response Syndrome / Q000503:physiopathology; D013906:Thoracoscopy; D016896:Treatment Outcome
chemical_list: D002097:C-Reactive Protein