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Application of full lateral decubitus position with cephalic parallel approach in robotic-assisted minimally invasive esophagectomy

  
@article{JTD31040,
	author = {Yunke Zhu and Lin Ma and Lunxu Liu and Yidan Lin},
	title = {Application of full lateral decubitus position with cephalic parallel  approach in robotic-assisted minimally invasive esophagectomy},
	journal = {Journal of Thoracic Disease},
	volume = {11},
	number = {8},
	year = {2019},
	keywords = {},
	abstract = {Background: To overcome the technical shortcomings of robot-assisted minimally invasive esophagectomy (RAMIE), we designed an optimized approach called full lateral position with cephalic-parallel approach for this technique.
Methods: We described and demonstrated the details regarding the full lateral position with cephalic-parallel approach for mobilization of the esophagus and mediastinal lymphadenectomy. On the basis of the location and T stage of esophageal cancer, a disease-specific resection process was also designed and introduced. Ten of our latest RAMIE procedures were performed using this approach. Perioperative data were collected and analyzed. 
Results: The mean duration of the entire RAMIE procedure was 381.0±57.5 min. Two (20%) patients suffered from postoperative hoarseness. The mean total number of lymph nodes dissected was 22.4±4.0, and the mean number of positive lymph nodes dissected was 2.0±2.7.
Conclusions: The newly designed full lateral position with cephalic-parallel approach, which makes the procedure highly convenient, is technically feasible for RAMIE.},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/31040}
}