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Robot-Assisted Thoracoscopic Esophagectomy with Total Mediastinal Lymphadenectomy: A Guide to a Systematic Approach Using the Concept of Fascial Plane Dissection

Authors
 Byung Jo Park  ;  Dae Joon Kim 
Citation
 Journal of Chest Surgery, Vol.54(4) : 294-301, 2021-08 
Journal Title
Journal of Chest Surgery
ISSN
 2765-1606 
Issue Date
2021-08
Keywords
Esophagectomy ; Lymph node dissection ; Robot-assisted
Abstract
Recent case series and meta-analyses have suggested that robot-assisted minimally invasive esophagectomy (RAMIE) could be a useful alternative to video-assisted thoracic surgery esophagectomy. The advantages of RAMIE are a 3-dimensional view, 7 degrees of freedom, and tremor filtering, which enable more meticulous lymph node dissection with a lower incidence of complications. However, in radical esophagectomy, understanding the concepts of the fascia and compartment is crucial for successful and reliable dissection. The first RAMIE in Korea was performed by our team in July 2006, and since then, we have developed related techniques to achieve better short- and long-term outcomes. The key step in RAMIE for esophageal squamous cell carcinoma is dissection of the upper mediastinum due to the difficulty of lymph node dissection and the high incidence of nodal metastasis in the area. Herein, we describe the technique of fascial plane dissection with esophageal suspension during RAMIE.
Files in This Item:
T202105055.pdf Download
DOI
10.5090/jcs.21.065
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dae Joon(김대준)
Park, Byung Jo(박병조)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187116
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