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. 2018 Apr-Jun;14(2):105-110.
doi: 10.4103/jmas.JMAS_36_17.

Application of single-port video-assisted thoracoscope in treating thoracic oesophageal squamous cell carcinoma using McKeown approach

Wenqiang Lv  1 , Guiqing Zeng  1 , Weibin Wu  1 , Wuzhi Wei  1 , Xiaodong Li  2 , Wenke Yang  3
Affiliations

Application of single-port video-assisted thoracoscope in treating thoracic oesophageal squamous cell carcinoma using McKeown approach

Wenqiang Lv et al. J Minim Access Surg. 2018 Apr-Jun.

Abstract

Objective: This study aims to investigate the feasibility of single-port video-assisted thoracoscope (SPVATS) in treating thoracic oesophageal squamous cell carcinoma (TESCC) using McKeown approach.

Materials and methods: Totally 10 McKeown approach-based SPVATS surgeries (8 males and 2 females, aged 42-68 years) were carried out from January 2015 to December 2015 to treat TESCC, including one case in upper thoracic segment, 5 cases in median thoracic segment and 4 cases in inferior thoracic segment. All the cases were pathologically diagnosed as SCC pre-operatively. SPVATS was performed to free thoracic oesophagus and dissect the lymph nodes, and laparoscopy was performed to free stomach and to perform oesophagus-left gastric collum anastomosis.

Results: All the patients were successfully completed SPVATS, with average thoracic surgery time as 150 min, intra-operative blood loss as 30-260 ml (average 90 ml), and post-operative hospital stay as 9-16 days (average 12 days).

Conclusions: SPVATS was technically feasible and safe in treating TESCC using McKeown approach, with less trauma and rapid post-operative recovery, and hence, it could be used as a new surgical option for McKeown approach-based TESCC treatment.

Keywords: McKeown approach; oesophageal squamous cell carcinoma; single-port video-assisted thoracoscope; treatment.

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Conflict of interest statement

There are no conflicts of interest

Figures

Figure 1
Figure 1
Freeing oesophagus, and sweeping lymph nodes of left and right para-recurrent laryngeal nerve
Figure 2
Figure 2
Two millimetres thread-leading device helped to stretch the oesophagus outside the skin
Figure 3
Figure 3
Conditions of pre-operative, intra-operative, and post-operative incision
See this image and copyright information in PMC

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