{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:47:50Z","timestamp":1774313270859,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T00:00:00Z","timestamp":1381190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We developed a hybrid of the prone and left lateral decubitus positions for thoracoscopic esophagectomy (TE) in 2009. This study aimed to evaluate the feasibility of applying this novel TE position.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed 78 patients who underwent TE at our institution between 2005 and 2010. Altogether, 33 patients underwent TE in the left lateral decubitus position (LD\u2010TE) from 2005 to 2008, and 45 underwent TE in the hybrid position (hybrid\u2010TE) from 2009 to 2010. Radical lymphadenectomy along the bilateral recurrent laryngeal nerves was performed in both groups. The thoracic duct was preserved in the LD\u2010TE group and resected in the hybrid\u2010TE group. In the LD\u2010TE group, all thoracic procedures were performed with the patient in the left lateral decubitus position. In the hybrid\u2010TE group, the upper mediastinal procedure was performed with the patient in the left lateral decubitus position, and procedures at the middle and lower mediastinum were performed with the patient in the prone position under CO<jats:sub>2<\/jats:sub> pneumothorax.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hybrid\u2010TE was associated with increased operating time. The number of harvested mediastinal nodes and the PaO<jats:sub>2<\/jats:sub>\/FiO<jats:sub>2<\/jats:sub> ratio on postoperative day 1 were both greater in this position. Although vocal cord palsy was observed more frequently in the hybrid\u2010TE group, there was no significant difference in the rate of other complications or in\u2010hospital mortality between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The novel hybrid position is believed feasible for use during TE. We believe that this position facilitates a more radical mediastinal lymphadenectomy with minimal intraoperative pulmonary damage.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2258-4","type":"journal-article","created":{"date-parts":[[2013,10,7]],"date-time":"2013-10-07T18:56:03Z","timestamp":1381172163000},"page":"410-418","source":"Crossref","is-referenced-by-count":37,"title":["Clinical Utility of a Novel Hybrid Position Combining the Left Lateral Decubitus and Prone Positions During Thoracoscopic Esophagectomy"],"prefix":"10.1002","volume":"38","author":[{"given":"Takuji","family":"Kaburagi","sequence":"first","affiliation":[{"name":"Department of Surgery Keio University School of Medicine 35 Shinanomachi, Shinjuku\u2010ku 160\u20108582 Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroya","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Keio University School of Medicine 35 Shinanomachi, Shinjuku\u2010ku 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