Thoraco-laparoscopic esophagectomy: thoracic stage in prone position

Cola, Carlos Bernardo; Sabino, Flávio; Pinto, Carlos Eduardo; Morard, Maria Ribeiro Santos; Filho, Pedro Portari; Guedes, Tereza

doi:10.1590/0100-69912017005002

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…A prone position for TLE has been proposed as an alternative to the lateral approach by a few authors, citing potential benefits such as better surgeon ergonomics and operative exposure, shorter operative time, and decreased pulmonary morbidity 3,4,6,17,18) . The conversion to a thoracotomy is theoretically more difficult in the prone than the left lateral position.…”

Section: Discussionmentioning

confidence: 99%

“…However, esophagectomy is a highly invasive procedure that can lead to severe postoperative complications 2) . Recently, results from several prominent academic institutions have demonstrated the feasibility of the minimally invasive esophagectomy (MIE) [3][4][5][6] . This technique is technically challenging and requires advanced laparoscopic and thoracoscopic skills.…”

Section: Introductionmentioning

confidence: 99%

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Outcome for esophageal cancer following thoraco-laparoscopic esophagectomy: A single institution experience

Thien

Trung

et al. 2021

Ann. Cancer Res. Therap.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Outcome for esophageal cancer following thoraco-laparoscopic esophagectomy: A single institution experience

Thien

Trung

et al. 2021

Ann. Cancer Res. Therap.

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“…La técnica quirúrgica tóraco-laparoscópica consiste en 3 tiempos: toracoscopía, laparoscopía y cervicotomía. El tiempo torácico en la posición decúbito prono ha demostrado, a su vez, ser una alternativa segura en comparación con la posición en decúbito dorsal [3].…”

Section: Introductionunclassified

Esofagectomía minimamente invasiva

Saxlund¹,

Gastelú²

2021

Rev. chil. anest.

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Introduction: Minimally invasive esophagectomy aims to reduce complications compared to open esophagectomy. In this report of the first patient undergoing this procedure at Hospital Pasteur, we highlight the importance of multidisciplinary management, and the main anesthesiological objectives. Objective: To present the case report highlighting the anesthetic management, together with the bibliographic review carried out in order to update the anesthetic action protocols, with the main objective of reducing the appearance of perioperative complications. Material and Method: Bibliographic search in PubMed bibliographic databases. Initially, 67 articles were obtained, selecting 20 considered relevant by the authors. Clinical case: It was a 46-year-old patient coordinated for esophagectomy for squamous neoplasm. Rapid sequence induction, selective endobronchial intubation and anesthetic maintenance with Isoflurane and epidural analgesia were performed. The hydroelectric replacement was restrictive. The surgical technique was performed in 3 stages: thoracic time by thoracoscopy; a second laparoscopic abdominal stage and a third stage for left cervicotomy. Extubation was carried out in the operating room with transfer to the ICU where she remained for 6 days to manage analgesia and due to the presence of a mild infectious complication, with good subsequent evolution. Conclusion:The use of perioperative multidisciplinary management protocols has fundamental importance as a strategy aimed at reducing morbidity and mortality. Advances in surgical technique added to anesthetic management constitute strategies that aim to reduce perioperative complications.

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A Fisioterapia Respiratória No Pós Operatório Imediato De Cirurgia Abdominal Alta: Uma Revisão Bibliográfica

Lopes Custódio,

Salomão Lopes Costa,

Corrêa Cavalcanti

2024

Rsv

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A fisioterapia respiratória desempenha um papel essencial na prevenção e gestão de complicações pulmonares após cirurgias abdominais altas, que frequentemente comprometem a mecânica respiratória e elevam o risco de atelectasias. Este artigo tem como objetivo investigar como as intervenções fisioterapêuticas podem minimizar esses riscos e acelerar a recuperação da função pulmonar. A metodologia adotada inclui a revisão de literatura recente e a análise de estudos de caso envolvendo técnicas como espirometria de incentivo, drenagem postural, e a manobra de breath stacking. Os resultados indicam que a implementação precoce dessas intervenções no período pós-operatório é eficaz na restauração dos volumes pulmonares e na redução das complicações respiratórias, promovendo uma recuperação mais rápida e segura para os pacientes. Essas técnicas demonstraram não apenas melhorar a função pulmonar, mas também reduzir o tempo de internação hospitalar e os custos associados, contribuindo para um melhor prognóstico e qualidade de vida dos pacientes submetidos a cirurgias abdominais altas. Palavras-chave: Fisioterapia Respiratória. Cirurgias Abdominais. Pós-Operatório.

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Thoraco-laparoscopic esophagectomy: thoracic stage in prone position

Abstract: Esofagectomia vídeo-tóraco-laparoscópica com tempo torácico em posição pronada METHODSWe conducted a prospective, non-randomi-

Cited by 3 publications

References 13 publications

Outcome for esophageal cancer following thoraco-laparoscopic esophagectomy: A single institution experience

Outcome for esophageal cancer following thoraco-laparoscopic esophagectomy: A single institution experience

Esofagectomía minimamente invasiva

A Fisioterapia Respiratória No Pós Operatório Imediato De Cirurgia Abdominal Alta: Uma Revisão Bibliográfica

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