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Ann Thorac Surg 1997;63:255-257
© 1997 The Society of Thoracic Surgeons

How To Do It

Patient Position for a Synchronous Cervicothoracoabdominal Two-Team Esophagectomy

Sandro Mattioli, MD, Franco D'Ovidio, MD, Massimo P. Di Simone, MD, Andrea Lazzari, MD, Rolando Paladini, MD, Bruno Begliomini, MD

Department of Surgery, Intensive Care, and Organ Transplantation, University of Bologna, Bologna, Italy

Accepted for publication August 2, 1996.

Cervicothoracoabdominal and cervicoabdominal approach are routinely adopted for total or subtotal esophagectomy. We propose a modification of the Nanson's patient position to optimize sequential or simultaneous left cervicotomy, laparotomy, and eventual right thoracotomy with one or two surgical teams. This technique permits better control of the operative field for each phase of the procedure with coordinated operating of two surgical teams on the neck, abdomen, and chest.






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Copyright © 1997 by The Society of Thoracic Surgeons.