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Related Experiment Video

Updated: Jun 7, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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Published on: September 11, 2021

Thoracoscopic esophagectomy in prone position.

Guy Bernard Cadière1, Giovanni Dapri, Jacques Himpens

  • 1Department of Gastrointestinal Surgery, European School of Laparoscopic Surgery, Saint-Pierre University Hospital, Brussels, Belgium, coelio@resulb.ulb.ac.be.

Annals of Surgical Oncology
|October 26, 2010
PubMed
Summary

This study details a minimally invasive Ivor Lewis esophagogastrectomy using thoracoscopy in the prone position for esophageal cancer. The technique enables a completely manual thoracoscopic anastomosis with excellent patient outcomes.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Thoracic Surgery

Background:

  • Esophagectomy is a critical procedure for esophageal cancer.
  • Minimally invasive techniques are evolving to improve patient outcomes.
  • Traditional methods can involve significant morbidity.

Purpose of the Study:

  • To report a novel technique for Ivor Lewis esophagogastrectomy.
  • To demonstrate thoracoscopy in the prone position for manual esophagogastric anastomosis.
  • To evaluate the feasibility and outcomes of this approach.

Main Methods:

  • A 51-year-old male with distal esophageal adenocarcinoma underwent the procedure.
  • The technique involved initial laparoscopy followed by thoracoscopy in the prone position.
  • A completely manual, double-layer thoracoscopic anastomosis was performed using three trocars.

Main Results:

  • The total operative time was approximately 337 minutes.
  • Blood loss was minimal (170 cc).
  • The patient was discharged on postoperative day 6.

Conclusions:

  • Thoracoscopy in the prone position facilitates a completely manual thoracoscopic esophagogastric anastomosis.
  • This technique can be achieved with minimal trocar usage and without selective lung desufflation.
  • The approach shows promise for minimally invasive esophagectomy.