(a) Left lateral semi prone position (patient was placed in left lateral and tilted anteriorly) (b) Port Placement for robotic-assisted thoracoscopic enucleation a b

(a) Left lateral semi prone position (patient was placed in left lateral and tilted anteriorly) (b) Port Placement for robotic-assisted thoracoscopic enucleation a b

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Introduction: Complete enucleation of oesophageal leiomyoma is the treatment of choice, traditionally performed by open surgery. Minimally invasive thoracoscopic approaches have been proposed as an alternative to thoracotomy. Robotic surgical systems with improved dexterity, tremor filtration and stereoscopic vision are advancement over convention...

Contexts in source publication

Context 1
... patients were operated in the semi-prone position [ Figure 1a] either in the right lateral or left lateral depending on the location and the laterality of tumour projection. Tumours in the upper and middle third of the thoracic oesophagus were approached from the right side. ...
Context 2
... additional ports were then placed at a distance of 9-10 cm from the camera port one cephalad and the other caudal. A 12 mm assistant port was placed between the camera and the caudal port [ Figure 1b]. The 5 mm port was finally converted to a 12 mm port for the robotic camera. ...

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Citations

... The robotic approach has also been employed for benign and malignant diseases of the esophagus. After the initial case report by Elli et al. on using a robotic approach for esophageal enucleation to leiomyomas, multiple other studies concur that the robotic approach provides a safe, feasible, and effective alternative to the VATS or open approach (81)(82)(83)(84). ...