Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy
Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy
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DOI：
10.1007/s00464-014-4003-y
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发表时间：
2015-09-01
影响因子：
3.1
通讯作者：
Ohuchi, Noriaki
中科院分区：
文献类型：
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作者：
Teshima, Jin;Miyata, Go;Ohuchi, Noriaki
从2012年开始，我们的机构引入了俯卧胸腔镜食管切除术。本研究描述了我们在俯卧位和传统左侧卧位下进行胸腔镜食管切除术的主要差异以及短期手术结果分析的经验。本研究共纳入了2012年1月至2013年10月在东北大学医院接受胸腔镜食管切除术的87例患者;其中俯卧位（P组）54例，侧卧位（L组）33例，患者背景相似，无院内死亡。两组在整个手术时间、胸部手术时间和清扫淋巴结数量方面无显著差异。P组的总失血量和胸部估计失血量显著低于L组。此外，P组的术后肺部并发症、重症监护室住院时间和住院时间显著较低。俯卧位胸腔镜食管切除术是可行且安全的。俯卧位技术可能上级传统的侧卧位食管切除术。
Prone thoracoscopic esophagectomy was introduced at our institution from 2012. This study describes our experiences of the main differences between thoracoscopic esophagectomy in the prone and traditional left lateral decubitus positions together with an analysis of the short-term surgical outcomes.In total, 87 patients undergoing thoracoscopic esophagectomy between January 2012 and October 2013 at Tohoku University Hospital were enrolled; of these, 54 and 33 patients were operated in the prone (Group P) and lateral decubitus (Group L) positions, respectively.The background of the patients was similar, and there was no in-hospital mortality. There were no significant differences between the groups in terms of whole surgical duration, thoracic duration, and number of dissected lymph nodes. Total blood loss and thoracic estimated blood loss were significantly lower in Group P than Group L. Furthermore, postoperative pulmonary complications, intensive care unit stay, and hospital stay were significantly lower in Group P.Thoracoscopic esophagectomy in the prone position is feasible and safe. The prone position technique may be superior to conventional lateral decubitus position esophagectomy.