第5巻 2009年10月　第4号

■臨床医のために

腹臥位胸腔鏡下食道切除術
松谷　毅^{1, 2}, 内田　英二¹, 丸山　弘^{1, 2}, 西川　晃司³, 山田　光輝³, 笹島　耕二^{1, 2
1}日本医科大学大学院医学研究科臓器病態制御外科学
²日本医科大学多摩永山病院外科
³日本医科大学多摩永山病院麻酔科

Thoracoscopic Esophagectomy with the Patient in the Prone Position
Takeshi Matsutani^{1, 2}, Eiji Uchida¹, Hiroshi Maruyama^{1, 2}, Koji Nishikawa³, Koki Yamada³ and Koji Sasajima^{1, 2
1)}Surgery for Organ Function and Biological Regulation, Graduate School of Medicine, Nippon Medical School
²⁾Department of Surgery, Nippon Medical School Tama Nagayama Hospital
³⁾Department of Anesthesiology, Nippon Medical School Tama Nagayama Hospital

We introduce a new technique of thoracoscopic esophagectomy with the patient in the prone position. The prone position allows mobilization of the esophagus and lymphadenectomy with only 5 trocars because the deflated lung does not block access. Stomach mobilization and gastric tube creation are performed by means of laparoscopy with the patient in the supine position. The esophagogastric anastomosis is an end-to-side anastomosis performed through a left cervical incision. This technique could reduce postoperative pain and morbidity.

日医大医会誌 2009; 5(4), 211-214

Key words
esophageal carcinoma, prone position, thoracoscopic surgery

Correspondence to
Takeshi Matsutani, Department of Surgery, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama Tokyo 206-8512, Japan
E-mail：matsutani@nms.ac.jp

受付：2009年7月6日　受理：2009年8月3日