Minimally invasive esophagectomy: Preservation of arch of Azygos vein in prone position

Minimally invasive esophagectomy (MIE) for oesophageal cancer has gained wide popularity in recent years due to its improved morbidity and mortality outcomes. We describe our modified technique of MIE in prone position with preservation of the arch of azygos vein. In our experience with 14 patients, the mean operative duration was 378 min (standard deviation [SD] 378 +/- 59 min) and the mean blood loss was 390 ml (SD 390 +/- 142 ml). The mean lymph node count was 28 (range 17-54). The Visick score was I in 12 (85.7%) patients and II in 2 (14.3%) patients at follow-up. The preservation of azygos vein arch is a technically feasible procedure and may be associated with a better quality of life outcome.

Automated summary

Minimally invasive esophagectomy for esophageal cancer has become popular in recent years due to improved outcomes. A modified technique with preservation of the azygos vein arch in prone position was described. The procedure was technically feasible and may lead to better quality of life outcomes.