Abstract
Since the first report by Dallemagne in the left lateral position in 1991 and by Cuschieri in the prone position in 1992, the minimally invasive oesphagectomy for cancer has been becoming popular gradually and been performed widely. For oesophageal cancer, the same quality of mediastinal dissection as open surgery should be entailed even through thoracoscopy. However, after learning in the technique, the previously undescribed fine anatomy, namely microanatomy, became obvious under magnified view obtained by positioning the camera at close vicinity to the dissection and thoracoscopic surgeon’s knowledge of the layer structure in the mediastinum became profounder. The proper dissection along the anatomical layer minimizes the tissue damage, bleeding and duration of the procedure, without oncological compromise. Reducing surgical insulation in the mediastinum by the rational dissection along the anatomical layers is the important factor in minimally invasive surgery together with reducing the thoracic wound.
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References
Fijita H. The history of lymphadenectomy for esophageal cancer and the future prospects for esophageal cancer surgery. Surg Today. 2015;45:140–9.
Udagawa H, Ueno M, Shinohara H, et al. The importance of grouping of lymph node stations and rationale of three-field lymphadenectomy for thoracic esophageal cancer. J Surg Oncol. 2012;106:742–7.
Funai T, Osugi H, Higashino M, et al. Estimation of lymph node metastasis by size in patients with intrathoracic oesophageal cancer. Br J Surg. 2000;87:1234–9.
Ando N, Kato H, Igaki H, et al. A randomized trial comparing postoperative adjuvant chemotherapy with cisplatin and 5-fluorouracil versus preoperative chemotherapy for localized advanced squamous cell carcinoma of the thoracic esophagus (JCOG9907). Ann Surg Oncol. 2012;19:68–74.
Tachimori Y, Ozawa S, Numasaki H, et al. Comprehensive registry of esophageal cancer in Japan 2009. Esophagus. 2016;13:110–37.
Osugi H, Takemura M, Higashsino M, et al. Video-assisted thoracoscopic esophagectomy and radical lymph node dissection for esophageal cancer. Surg Endosc. 2002;16:1588–93.
Cuesta MA, Weijs TJ, Bleys RLAW, et al. A new concept of the anatomy of the thoracic oesophagus: the meso-oesophagus. Observational study during thoracoscopic esophagectomy. Surg Endosc. 2015;29:2576–82.
Akiba T, Morikawa T, Inagaki T, et al. A new classification for right top pulmonary vein. Ann Thorac Surg. 2013;95:1227–30.
Mamidanna R, Bottle A, Aylin P, et al. Short-term outcomes following open versus minimally invasive esophagectomy for cancer in England. A population-based national study. Ann Surg. 2012;255:197–203.
Takeuchi H, Miyata H, Gotoh M, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese National Web-Based database. Ann Surg. 2014;260:259–66.
Yerokun BA, Sun Z, Yang CFJ, et al. Minimally invasive versus open esophagectomy for esophageal cancer: a population-based analysis. Ann Thorac Surg. 2016;102:416–23.
Biere SS, van Berge Henegouwen M, Maas K, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet. 2012;379:1887–92.
Biere SS, Cuesta MA, van der Peet DL. Minimally invasive versus open esophagectomy for cancer: a systematic review and meta-analysis. Minerva Chir. 2009;64:121–33.
Nagpal K, Ahmed K, Vats A, et al. Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis. Surg Endosc. 2010;24:1621–9.
Sgourakis G, Gockel I, Radtke A, et al. Minimally invasive versus open esophagectomy: meta-analysis of outcomes. Dig Dis Sci. 2010;55:3031–40.
Dantoc M, Cox MR, Eslick GD. Evidence to support the use of minimally invasive esophagectomy for esophageal cancer: a meta-analysis. Arch Surg. 2012;147:768–76.
Gou W, Ma X, Yan S, et al. Combined thoracoscopic-laparoscopic esophagectomy versus open esophagectomy: a meta-analysis of outcomes. Surg Endosc. 2016;30:3873–81.
Giugliano DN, Berger AC, Rosato EL, et al. Total minimally invasive esophagectomy for esophageal cancer: approaches and outcomes. Langenbeck’s Arch Surg. 2016;401:747–56.
Rodham P, Batty JA, McElnay PJ, et al. Dose minimally invasive oesophagectomy provide a benefit in hospital length of stay when compared with open oesophagectomy? Interact Cardiovasc Thorac Surg. 2016;22:360–7.
Taguchi S, Osugi H, Higashino M, et al. Comparison of three-field esophagectomy for esophageal cancer incorporating open or thoracoscopic thoracotomy. Surg Endosc. 2003;17:1445–50.
Fujita H, Ozawa S, Kuwano H, et al. Esophagectomy for cancer: clinical concerns support centralizing operations within the larger hospitals. Dis Esophagus. 2010;23:145–52.
Osugi H, Takemura M, Higashino M, et al. Learning curve of video-assisted thoracoscopic esophagectomy and extensive lymphadenectomy for squamous cell cancer of the thoracic esophagus and results. Surg Endosc. 2003;17:515–9.
Ninomiya I, Osugi H, Tomizawa N, et al. Learning of thoracoscopic radical esophagectomy: how can the learning curve be made short and flat? Dis Esophagus. 2010;23:618–26.
Cuesta MA, Wielen NI, Straatman J, et al. Video-assisted thoracoscopic esophagectomy: keynote lecture. Gen Thorac Cardiovasc Surg. 2016;64:380–5.
Burdall OC, Boddy AP, Fullick J, et al. A comparative study of survival after minimally invasive and open oesophagectomy. Surg Endosc. 2015;29:431–7.
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1 Electronic Supplementary Materials
Esophageal resection by lateral thoracoscopy. Supracarinal lymphadenectomy along recurrent laryngeal nerves. After dissection (WMV 10541 kb)
Esophageal resection by lateral thoracoscopy. Supracarinal lymphadenectomy along recurrent laryngeal nerves. Aortic arch nodes (WMV 12709 kb)
Esophageal resection by lateral thoracoscopy. Supracarinal lymphadenectomy along recurrent laryngeal nerves. Bifurcation nodes (WMV 46534 kb)
Esophageal resection by lateral thoracoscopy. Supracarinal lymphadenectomy along recurrent laryngeal nerves. Left recurrent node (WMV 33284 kb)
Esophageal resection by lateral thoracoscopy. Supracarinal lymphadenectomy along recurrent laryngeal nerves. Right recurrent node (WMV 19905 kb)
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Osugi, H., Narumiya, K., Kudou, K. (2017). Thoracoscopic Radical Esophagectomy for Cancer. In: Cuesta, M. (eds) Minimally Invasive Surgery for Upper Abdominal Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-54301-7_7
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