{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:10:41Z","timestamp":1789470641701,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T00:00:00Z","timestamp":1502668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To reduce pulmonary complications after esophagectomy, the transthoracic procedure should be shortened or totally avoided. Transcervical approach assisted by mediastinoscope for the upper mediastinum may be advantageous for this purpose. We carried out video\u2010assisted transcervical mediastinal dissection (<jats:styled-content style=\"fixed-case\">VATCMD<\/jats:styled-content>) as part of totally non\u2010transthoracic radical esophagectomy. A single\u2010port laparoscopy device was adopted to a small cervical incision and the mediastinum was inflated with a positive pressure of 6 to 10 mmHg. Without assistant's retractor, the upper mediastinum and partially the middle mediastinum were dissected mainly by mediastinoscopic\u2010assisted surgery. Video of the operation is demonstrated with illustrations. We have carried out and reported 17 cases of esophagectomy including <jats:styled-content style=\"fixed-case\">VATCMD<\/jats:styled-content> and its perioperative outcome. Non\u2010transthoracic esophagectomy was completed without conversion to transthoracic procedure in all 17 cases. Procedure\u2010related adverse event was not observed and postoperative course was favorable with a zero occurrence (0%) of recurrent laryngeal nerve palsy, chyle leakage or pulmonary complications. Median number of harvested lymph nodes from the upper mediastinal stations was 10. <jats:styled-content style=\"fixed-case\">VATCMD<\/jats:styled-content> is suggested as a safe and feasible approach for the upper mediastinum in esophagectomy for malignancies. It enabled a totally non\u2010transthoracic radical esophagectomy in combination with a transhiatal approach.<\/jats:p><jats:p>Video\u2010assisted transcervical mediastinal dissection is suggested as a safe and feasible approach for the upper mediastinum in esophagectomy for malignancies. It enabled a totally non\u2010transthoracic radical esophagectomy in combination with a transhiatal approach.<\/jats:p>","DOI":"10.1002\/ags3.12022","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T09:28:46Z","timestamp":1502702926000},"page":"232-237","source":"Crossref","is-referenced-by-count":33,"title":["Technical details of video\u2010assisted transcervical mediastinal dissection for esophageal cancer and its perioperative outcome"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9275-3258","authenticated-orcid":false,"given":"Kazuhiko","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Graduate School of Medicine University of Tokyo Tokyo Japan"},{"name":"Department of Gastrointestinal Surgery Mitsui Memorial Hospital Tokyo 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