title: A bilateral thoracic approach for esophageal cancer in the prone position.
abstract: Esophagectomy in the prone position has recently been introduced as a less-invasive procedure for treating esophageal cancer. We herein present a case of esophageal squamous cell carcinoma (ESCC) treated with a bilateral thoracic approach in the prone position. The patient was a 69-year-old male diagnosed with middle thoracic ESCC. Computed tomography scans and fluorine-18-fluorodeoxyglucose revealed possible metastasis to the lymph nodes on the left dorsal side of the descending thoracic aorta (DTA). After preoperative chemotherapy, we dissected the lymph node metastasis on the left dorsal DTA using the left thoracic approach, following resection of the ESCC by a right thoracic approach in the same prone position. The postoperative course was uneventful, and the patient was discharged 23 days after surgery. A bilateral thoracic approach for esophageal cancer in the prone position may be a new option for surgically treating esophageal cancer.
authors: Yutaka
authors: Y
authors: Shimada
authors: Atsushi
authors: A
authors: Kawabe
authors: Sanae
authors: S
authors: Nakajima
authors: Koichiro
authors: K
authors: Hata
authors: Yuwa
authors: Y
authors: Takahashi
authors: Makoto
authors: M
authors: Kume
authors: Kazuhiro
authors: K
authors: Tsukada
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary; D056888:Patient Positioning / Q000379:methods*; D016684:Prone Position; D013274:Stomach Neoplasms / Q000601:surgery*; D019616:Thoracic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome
references: Surg Today. 2013 Apr;43(4):386-91
references: 23064967
references: Surg Today. 2007;37(3):243-7
references: 17342367
references: Ann Surg. 2012 Jul;256(1):95-103
references: 22668811
references: J Am Coll Surg. 2006 Jul;203(1):7-16
references: 16798482
references: J Am Coll Surg. 2012 May;214(5):838-44
references: 22421259
references: J R Coll Surg Edinb. 1992 Feb;37(1):7-11
references: 1573620