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Ann Thorac Surg 2002;73:1329-1331
© 2002 The Society of Thoracic Surgeons

How to do it

Thoracoscopic esophagectomy combined with mediastinoscopy via the neck

Yoshifumi Ikeda, MD*a, Masanori Niimi, MD, PhDa, Shigenao Kan, MDa, Hiroshi Takami, MDa, Susumu Kodaira, MDa

a Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

Accepted for publication November 28, 2001.

* Address reprint requests to Dr Ikeda, Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-8605, Japan
e-mail: yikeda{at}med.teikyo-u.ac.jp

Although thoracoscopic techniques have been introduced to esophageal surgery, the identification of the left recurrent laryngeal nerve and lymph node dissection along the nerve remain quite difficult. A mediastinoscopic technique via the neck enables an excellent visual field to be created in the upper mediastinum, especially near the left recurrent laryngeal nerve. Therefore, a thoracoscopic esophagectomy combined with this technique allows mediastinal lymph nodes along the left recurrent laryngeal nerve to be easily and safely dissected.




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