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- W4289261786 abstract "Abstract Video-assisted thoracoscopic esophagectomy for oesophageal cancer involving the thoracic region has certain advantages. However, thoracoscopic instrument manipulations performed in the narrow confines of the posterior mediastinum carry the risk of intraoperative injury to other vital structures. Purpose of the study To improve surgical treatment outcomes of thoracic oesophageal cancer patients using topographic anatomical navigation. Materials and methods The study included 23 patients with stages II-III middle and lower thoracic oesophageal cancer (TOC), according to TNM-8. All of them underwent thoracoscopic oesophagectomy in the semi-prone position. While the 1 st group of patients (n=15) underwent conventional surgery, in the 2 nd group of patients (n= 8), our algorithm of sequential visual navigation based on topographic and anatomical landmarks was employed. Results In the 1 st group,4 patients (26.7%) developed intraoperative complications. Out of these four, in 3 patients, injury of the thoracic lymphatic duct complicated with chylothorax development was diagnosed, requiring reoperations; in one patient, the surgery caused damage to the thoracic aorta. Unfortunately, two patients out of these four died.In contrast, there were no intraoperative complications or deaths in the 2 nd group. In addition, the algorithm allowed the removal of 18% more lymph nodes, reduction in the incidence of postoperative pneumonia by 25%, the operation time by 25±15 minutes, and the length of stays by 3±2 days, compared with the 1 st group of patients. Conclusion Topographic anatomical navigation can reduce the incidence of intra- and postoperative complications, effectively guide lymph node dissection, and shorten hospital stay." @default.
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- W4289261786 date "2022-08-01" @default.
- W4289261786 modified "2023-09-27" @default.
- W4289261786 title "Evaluation of Intraoperative Navigation-assisted Thoracoscopic Oesophagectomy Outcomes in the Patient's Semi-prone Position" @default.
- W4289261786 doi "https://doi.org/10.21203/rs.3.rs-1893191/v1" @default.
- W4289261786 hasPublicationYear "2022" @default.
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