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Thoracoscopic esophagectomy in the prone position for esophageal cancer patients with pectus excavatum: a report of two cases

Authors
  • Tsukada, Tomoya1
  • Kitano, Yuto1
  • Sugimoto, Yuya1
  • Kaji, Masahide1
  • 1 Toyama Prefectural Central Hospital, 2-78 Nishi Nagae, Toyama, 930-8550, Japan , Toyama (Japan)
Type
Published Article
Journal
Surgical Case Reports
Publisher
Springer Berlin Heidelberg
Publication Date
May 07, 2021
Volume
7
Issue
1
Identifiers
DOI: 10.1186/s40792-021-01193-9
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundPectus excavatum is a common thoracic deformity that can be encountered during thoracoscopic esophagectomy. Here, we report two cases of esophageal cancer complicated by pectus excavatum that were treated with thoracoscopic esophagectomy with the patients in the prone position.Case presentationThe first patient was a 64-year-old male diagnosed with esophageal cancer (cT3N0M0, Haller index 8.5) and underwent radical thoracoscopic esophagectomy in the prone position following neoadjuvant chemotherapy. The second patient was a 67-year-old male diagnosed with esophageal cancer (cT1bN0M0, Haller index 4.3), and the same procedure was performed in this patient. In cases of patients with a high Haller index, where securing the surgical field is difficult, preoperative computed tomography in the prone position can help surgeons to understand the mediastinal field of view and is safe.ConclusionsRadical thoracoscopic esophagectomy in the prone position may be a surgical option in patients with pectus excavatum.

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