article = {JSO-2020-2-102}
title = {Surgical Benefits of Prone Position Thoracoscopic Esophagectomy Over Open Thoracic and Thoracoscopic Esophagectomy in Left Lateral Decubitus Position: A Literature Review}
journal = {Journal of Surgical Oncology}
year = {2020}
issn = {2674-3000}
doi = {http://dx.doi.org/10.31487/j.JSO.2020.02.02}
url = {https://www.sciencerepository.org/surgical-benefits-of-prone-position_JSO-2020-2-102 
author = {Kazuo Koyanagi,Kentaro Yatabe ,Miho Yamamoto ,Soji Ozawa ,Tadashi Higuchi ,Yamato Ninomiya ,}
keywords = {Thoracoscopic esophagectomy, minimally invasive esophagectomy, prone position, short-term outcome, mediastinal lymph node dissection}
abstract ={Objective: We reviewed the surgical outcomes of minimally invasive esophagectomy (MIE), especially the
number of lymph nodes retrieved, for the patients with esophageal cancer to clarify the surgical benefits of
MIE in patients with esophageal cancer.
Material and Methods: A systematic literature search was performed, and articles that fully described the
surgical results of MIE were selected. Parameters such as operative time, blood loss, the number of lymph
nodes retrieved, and postoperative complications were compared among patients undergoing minimally
invasive esophagectomy (MIE) in the left lateral decubitus position (MIE-LP), MIE in the prone position
(MIE-PP), and open thoracic esophagectomy (OE).
Results: The conversion rate from MIE to OE was very low. MIE-PP was associated with lower blood loss
than OE and MIE-LP. Results of a multicenter randomized controlled trial demonstrated that pneumonia
and recurrent laryngeal nerve paralysis in MIE-PP significantly reduced compared with OE. Although
postoperative complications were not different between MIE-PP and MIE-LP, the number of lymph nodes
retrieved in MIE-PP was higher than that in MIE-LP.
Conclusion: MIE-PP has potential benefits in terms of less surgical invasiveness and improvement of
mediastinal lymph node dissection. A prospective randomized control trial using a large number of cases
and long-term follow-up is recommended for analyses of appropriate mediastinal lymph node dissection
and its impact on oncological benefit.}