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ORIGINAL ARTICLE
Ahead of Print

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


1 Department of Thoracic and Cardiovascular Surgery, People's Hospital of Jieyang, Jieyang 522000, Guangdong Province, People's Republic of China
2 Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, Guangdong Province, People's Republic of China
3 Department of Anesthesiology, People's Hospital of Jieyang, Jieyang 522000, Guangdong Province, People's Republic of China

Correspondence Address:
Wenqiang Lv,
Department of Thoracic and Cardiovascular Surgery, People's Hospital of Jieyang, 107 Tianfu Road, Jieyang 522000, Guangdong Province
People's Republic of China
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Source of Support: None, Conflict of Interest: None

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.


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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04