2021年1月
Simple technique of azygos arch division and retraction for minimally invasive esophagectomy.
Esophagus : official journal of the Japan Esophageal Society
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- 巻
- 18
- 号
- 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
- ID情報
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- DOI : 10.1007/s10388-020-00760-7
- PubMed ID : 32613326