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Uniportal Thoracoscopic McKeown Esophagectomy


We performed the technique of uniportal thoracoscopic McKeown esophagectomy. The incision was located in the fourth intercostal space on the right axillary midline. The right recurrent laryngeal nerve lymph nodes were dissected. Four hemlocks were applied to clamp the proximal and distal ends of the aortic arch. The esophagus was suspended with purse-string at the level of the azygos vein arch to assist the dissection of the left recurrent laryngeal nerve lymph nodes. A silk thread was drawn out from the incision in order to remove the subcarinal lymph nodes. A thoracic drainage tube was placed at the back of the incision at the end.

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  1. 1.

    Luketich JD, Alvelo-Rivera M, Buenaventura PO et al (2003) Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg 238(4):486–494 discussion 494-5

  2. 2.

    Lee JM, Yang SM, Yang PW, Huang PM (2016) Single-incision laparo-thoracoscopic minimally invasive oesophagectomy to treat oesophageal cancer. Eur J Cardiothorac Surg 49(Suppl 1):i59–i63

  3. 3.

    Dmitrii S, Pavel K (2017) Uniportal video-assisted thoracic surgery esophagectomy. Thorac Surg Clin 27(4):407–415

  4. 4.

    Batirel HF (2017) Uniportal video-assisted thoracic surgery for esophageal cancer. J Vis Surg 3:156

  5. 5.

    Hu W, Yuan Y, Chen L (2019) Single-port thoracoscopic minimally invasive esophagectomy for esophageal cancer. World J Surg 43(2):567–570

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Correspondence to Mingfa Guo.

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Zhang, Z., Rong, B. & Guo, M. Uniportal Thoracoscopic McKeown Esophagectomy. Indian J Surg (2020). https://doi.org/10.1007/s12262-020-02096-z

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  • Single port
  • Thoracoscopy
  • Esophagectomy
  • Esophageal cancer