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 HOW I DO IT
Year : 2021  |  Volume : 17  |  Issue : 3  |  Page : 405-407

Minimally invasive esophagectomy: Preservation of arch of Azygos vein in prone position


1 Department of Surgical Oncology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 Department of Surgical Oncology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
3 Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
4 Department of Anaethesiology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
5 Department of Pathology and Lab Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
6 Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India

Correspondence Address:
Dr. Madhabananda Kar
Department of Surgical Oncology, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar - 751 019, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_267_20

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Minimally invasive esophagectomy (MIE) for oesophageal cancer has gained wide popularity in recent years due to its improved morbidity and mortality outcomes. We describe our modified technique of MIE in prone position with preservation of the arch of azygos vein. In our experience with 14 patients, the mean operative duration was 378 min (standard deviation [SD] 378 ± 59 min) and the mean blood loss was 390 ml (SD 390 ± 142 ml). The mean lymph node count was 28 (range 17–54). The Visick score was I in 12 (85.7%) patients and II in 2 (14.3%) patients at follow-up. The preservation of azygos vein arch is a technically feasible procedure and may be associated with a better quality of life outcome.






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