{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T22:37:35Z","timestamp":1793140655257,"version":"4.5.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,5,18]],"date-time":"2025-05-18T00:00:00Z","timestamp":1747526400000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Minimally invasive esophagectomy has emerged over open surgery, showing important advantages on the short time and comparable oncological outcomes, though concerns persist about pulmonary complications. The avoidance of the thoracic route has shown lower pulmonary complication rates compared to traditional approaches. Since 2015, a novel technique was introduced combining single port transcervical and transhiatal laparoscopic mediastinal dissection for esophageal resection. The procedure is nowadays expanding, following the IDEAL framework stage 2b an international collaborative group has been created to register, standardize the procedure, selection of patients, and assess the outcome, highlighting the need for ongoing discussion and research. A broad questionnaire was sent to all the groups worldwide known to us performing this procedure. Results of this questionnaire are the goal of this manuscript, aiming to present the procedure, experiences, problems, and lessons learned with this procedure. The thirteen respondents currently practicing this technique were categorized based on case volume and experience. Results show varied surgical indications, with higher-volume centers displaying less selectivity. Slightly different surgical approaches were reported, with the left transcervical and abdominal transhiatal dissection being the basis techniques. Surgeons reported high rates of R0 resection and lymph node harvested, low rates of pulmonary complications and anastomotic leaks, but high rates of recurrent laryngeal nerve injuries. The collaborative group aims to align techniques, share experiences, and standardize procedures. Despite concerns about recurrent laryngeal nerve injuries, not different from other total mediastinal lymphadenectomy techniques, the procedure shows promise in reducing pulmonary complications, marking a crucial step toward global acceptance. Future efforts will focus on standardization, comparative studies, and training protocols.<\/jats:p>","DOI":"10.1093\/dote\/doaf035","type":"journal-article","created":{"date-parts":[[2025,5,18]],"date-time":"2025-05-18T19:02:31Z","timestamp":1747594951000},"source":"Crossref","is-referenced-by-count":2,"title":["Worldwide survey on the transcervical approach for minimally invasive treatment of esophageal cancer: results of questionnaire of the international collaborative group on transCervical Minimally Invasive Esophagectomy"],"prefix":"10.1093","volume":"38","author":[{"given":"Federica","family":"Riccio","sequence":"first","affiliation":[{"name":"Department of Surgery, Radboud University Medical Center , Nijmegen ,","place":["the Netherlands"]},{"name":"Department of Surgery, Oncology and Gastroenterology, 1st Surgical Clinic, University of Padova , Padova ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bastiaan R","family":"Klarenbeek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Radboud University Medical Center , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine , Kyoto ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyuki","family":"Seto","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Graduate School of Medicine , Tokyo ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel A","family":"Cuesta","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam University Medical Centers , Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the International CMIE Collaborative Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Daiko","sequence":"additional","affiliation":[{"name":"Division of Esophageal Surgery, National Cancer Center Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter P","family":"Grimminger","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplant Surgery, University Medical Centre Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingdong","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Mitsui","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dokkyo Medical University Saitama Medical Center, Saitama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Mitsui Memorial Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Shiozaki","sequence":"additional","affiliation":[{"name":"Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Faculty of Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki 305-8575, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaxing","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomotaka","family":"Shibata","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Faculty of Medicine, Oita University, Yufu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Shirakawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Tokairin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Toshima Hospital Tokyo Metropolitan Health and Hospitals Corporation, Tokyo, 173-0015, 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and robot-assisted Esophagectomy for Esophageal cancer","volume":"14","author":"Banks","year":"2022","journal-title":"Cancers (Basel)"},{"issue":"3","key":"2025052712491355900_ref10","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1016\/j.athoracsur.2015.03.122","article-title":"Single-port mediastinoscopic lymphadenectomy along the left recurrent laryngeal nerve","volume":"100","author":"Fujiwara","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2025052712491355900_ref11","doi-asserted-by":"crossref","first-page":"125","DOI":"10.21037\/jovs.2016.07.08","article-title":"Mediastinoscope and laparoscope-assisted esophagectomy","volume":"2","author":"Fujiwara","journal-title":"J Vis Surg"},{"issue":"1","key":"2025052712491355900_ref12","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1111\/ases.12687","article-title":"Transmediastinal approach for esophageal cancer: a new trend toward radical 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