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Thoracoscopic Esophagectomy

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Innovation in Esophageal Surgery

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Abstract

The Minimally invasive approach for oesophageal resection for cancer (MIO) is increasingly being used in the world. Important advantage is avoidance of thoracotomy while obtaining the same quality of specimen. Thoracoscopic oesophageal resection can be performed in lateral position with total lung block or in prone position. Thoracoscopic oesophagectomy in prone position avoids total collapse of the right lung. This may be associated with an important reduction in respiratory infections. In this chapter the developments around implementation of MIO in daily practice and the operative technique of the different approaches are explained. Moreover looking for evidence, literature is discussed, meta-analysis commented and the outcome of the only randomized trial comparing MIO, the TIME trial (by prone thoracoscopy and laparoscopy versus right thoracotomy and laparotomy) presented.

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Authors and Affiliations

  1. Department of Surgery, VU University Medical Centre, Amsterdam, The Netherlands

    Miguel A. Cuesta, Donald L. van der Peet, Surya S. A. Y. Biere & Suzanne S. Gisbertz

  2. Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands

    Mark van Berge Henegouwen

Authors
  1. Miguel A. Cuesta
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  2. Donald L. van der Peet
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  3. Surya S. A. Y. Biere
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  4. Suzanne S. Gisbertz
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  5. Mark van Berge Henegouwen
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Corresponding author

Correspondence to Miguel A. Cuesta .

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Editors and Affiliations

  1. , Department ofSurgery, IRCCS Policlinico San Donato, San Donato Milanese (Mi), Italy

    Luigi Bonavina

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© 2012 Springer-Verlag Italia

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Cuesta, M.A., van der Peet, D.L., Biere, S.S.A.Y., Gisbertz, S.S., van Berge Henegouwen, M. (2012). Thoracoscopic Esophagectomy. In: Bonavina, L. (eds) Innovation in Esophageal Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2469-4_9

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  • DOI: https://doi.org/10.1007/978-88-470-2469-4_9

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2468-7

  • Online ISBN: 978-88-470-2469-4

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