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Minimally Invasive Esophagectomy: Thoracoscopic mobilization of esophagus in prone position
Chinnuswamy Palaninvelu1; Palanisamy Senthilnathan1; Ramakrishnan Parthsarathi1; Rangaswamy Rangaswamy1 ; 1. Department of Surgical Gastroenterology & Minimal Access Surgery, GEM Hospital India Pvt Limited , Coimbatore , TamilNadu , India .

Minimally invasive esophagectomy is a technically challenging procedure and is currently performed in only a few medical centers in the world. Most series report thoracoscopic mobilization of the esophagus and mediastinal lymphadenectomy in left lateral position with respiratory complications up to 8%, and prolonged operative time probably due to improper stance of the surgeon during thoracoscopic part. Thoracoscopic part of the procedure is done in prone position with single lumen endotracheal tube and the remaining procedure is done in semilithotomy position.This video shows the potential of thoracoscopic part of the procedure in prone position to ease these difficulties.


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