論文

2021年1月

Simple technique of azygos arch division and retraction for minimally invasive esophagectomy.

Esophagus : official journal of the Japan Esophageal Society
  • Shigeru Tsunoda
  • ,
  • Kazutaka Obama
  • ,
  • Shigeo Hisamori
  • ,
  • Kyoichi Hashimoto
  • ,
  • Tatsuto Nishigori
  • ,
  • Yoshiharu Sakai

18
1
開始ページ
169
終了ページ
172
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s10388-020-00760-7

The azygos arch is usually divided during esophagectomy. To achieve thorough lymphadenectomy up to upper mediastinum, many surgeons prefer to retract the distal stump of the azygos arch by pulling out the thread which ligates the stump to the skin through the dorsal side of the intercostal space. However, the access to the dorsal chest wall near vertebrae for percutaneous puncture is difficult during robot-assisted minimally invasive esophagectomy in the prone position. This paper reports a new simple method of azygos arch division and retraction using a polymer locking ligation system Hem-o-lok (Teleflex, Morrisville, NC, USA) and a barbed suture device. This technique can be easily performed completely as a robotic procedure without extra puncture, and it is also applicable for conventional thoracoscopic procedures with the potential benefits of less trauma and bleeding.

リンク情報
DOI
https://doi.org/10.1007/s10388-020-00760-7
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32613326
ID情報
  • DOI : 10.1007/s10388-020-00760-7
  • PubMed ID : 32613326

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