Magnetic anchoring and traction technique-assisted thoracoscopic esophagectomy: Report of three cases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YAN Xiaopeng ^1,2 , CHEN Wenwen ³ , FU Junke ⁴ , SUN Xin ⁴ , ZHANG Boxiang ⁴ , WANG Qingshi ⁴ , LI Yunhao ⁴ , PENG Ziyang ⁴ , LV Yi ^1,2 ,  ZHANG Yong ^2,4

1. Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an, 710061, P. R. China;
2. National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an, 710061, P. R. China;
3. Qide College, Xi’an Jiao Tong University, Xi’an, 710061, P. R. China;
4. Department of Thoracic Surgery, The First Affiliated Hospital of Xi’an Jiao Tong University, Xi’an, 710061, P. R. China;

Corresponding author：

ZHANG Yong, Email: zhangyongyang05@163.com

Keywords：

Magnetic anchoring and traction technique; thoracoscopy; esophagectomy; case report

DOI：

10.7507/1007-4848.202103084

Video：

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Magnetic anchoring and traction technique is one of the core technologies of magnetic surgery. With the "non-contact" traction force of the outer magnet on the inner magnet, we can drive the inner magnet and the gripper to multiple directions, and pull tissue or organ to required position in operations, so as to get a clearer surgical field of view. On the basis of the previous animal experiments, we applied magnetic anchoring and traction device in 3 human (males aged 63-71 years) thoracoscopic esophagectomies. Using the magnetic anchoring device, we could pull the esophagus dorsally or ventrally to assist in exposing the anatomical plane without special equipment or pleural puncture for retraction of the esophagus. The interference between operating instruments reduced. The mean blood loss in operation was 83 mL, the mean total operation time was 253 min and the mean length of hospital stay was 10 d. Postoperative follow-up showed that all 3 patients had good short-term prognosis. There was no swellling or pain in magnetic anchoring zone of chest wall.

Citation： YAN Xiaopeng, CHEN Wenwen, FU Junke, SUN Xin, ZHANG Boxiang, WANG Qingshi, LI Yunhao, PENG Ziyang, LV Yi, ZHANG Yong. Magnetic anchoring and traction technique-assisted thoracoscopic esophagectomy: Report of three cases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(6): 793-796. doi: 10.7507/1007-4848.202103084 Copy

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2.	Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3.	Yibulayin W, Abulizi S, Lv H, et al. Minimally invasive oesophagectomy versus open esophagectomy for resectable esophageal cancer: A meta-analysis. World J Surg Oncol, 2016, 14(1): 304.
4.	Yanasoot A, Yolsuriyanwong K, Ruangsin S, et al. Costs and benefits of different methods of esophagectomy for esophageal cancer. Asian Cardiovasc Thorac Ann, 2017, 25(7-8): 513-517.
5.	Tamura M, Shimizu Y, Hashizume Y. Pain following thoracoscopic surgery: Retrospective analysis between single-incision and three-port video-assisted thoracoscopic surgery. J Cardiothorac Surg, 2013, 8: 153.
6.	Hu W, Yuan Y, Chen L. Single-port thoracoscopic minimally invasive esophagectomy for esophageal cancer. World J Surg, 2019, 43(2): 567-570.
7.	Zhang Z, Rong B, Guo M. Uniportal thoracoscopic McKeown esophagectomy. Indian J Surg, 2020: 1-3.
8.	严小鹏, 商澎, 史爱华, 等. 磁外科学体系的探索与建立. 科学通报, 2019, 64(8): 815-826.
9.	Zhu H, Shang Y, Ma T, et al. 10-mm laparo-endoscopic single-site cholecystectomy using multiple magnetically anchored and controlled instruments. J Surg Res, 2019, 239: 166-172.
10.	Lehman AC, Dumpert J, Wood NA, et al. Natural orifice cholecystectomy using a miniature robot. Surg Endosc, 2009, 23(2): 260-266.
11.	Zeltser IS, Bergs R, Fernandez R, et al. Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol, 2007, 178(1): 288-291.
12.	Davis M, Davalos G, Ortega C, et al. Magnetic liver retraction: An incision-less approach for less invasive bariatric surgery. Obes Surg, 2019, 29(3): 1068-1073.
13.	Cadeddu J, Fernandez R, Desai M, et al. Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: Initial human experience. Surg Endosc, 2009, 23(8): 1894-1899.
14.	严小鹏, 李益行, 付军科, 等. 磁锚定技术辅助胸腔镜肺楔形切除术三例. 中国胸心血管外科临床杂志, 2020, 27(2): 228-229.
15.	任斯宇, 张家辉, 李益行, 等. 磁锚定技术的研究现状及临床应用分析. 中华普通外科杂志, 2020, 35(4): 343-345.
16.	Gonzalez-Rivas D. Unisurgeon' uniportal video-assisted thoracoscopic surgery lobectomy. J Vis Surg, 2017, 3: 163.
17.	Giaccone A, Solli P, Bertolaccini L. Magnetic anchoring guidance system in video-assisted thoracic surgery. J Vis Surg, 2017, 3: 17.
18.	张勇, 熊力, 李奇灵, 等. 磁锚定技术及其临床应用. 科学通报, 2020, 65(13): 1274-1282.
19.	张勇, 严小鹏, 史爱华, 等. 磁外科技术在胸外科中的应用进展. 中国胸心血管外科临床杂志, 2020, 27(3): 336-342.
20.	陈雯雯, 严小鹏, 雷凤萍, 等. 磁锚定牵引技术辅助胸腔镜下食管切除术的实验研究. 中国胸心血管外科临床杂志, 2021, 28(9): 1090-1094.
21.	Zheng W, Zhu Y, Guo CH, et al. Esophageal suspension method in scavenging peripheral lymph nodes of the left recurrent laryngeal nerve in thoracic esophageal carcinoma through semi-prone-position thoracoscopy. J Cancer Res Ther, 2014, 10(4): 985-990.
22.	郑斌, 许锦鑫, 吴培训, 等. 密闭式单孔胸腹腔镜联合食管癌根治术的应用价值. 中华消化外科杂志, 2019, 18(3): 270-273.

1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2. Chen W, Zheng R, Baade PD, et al. Cancer statistics in China, 2015. CA Cancer J Clin, 2016, 66(2): 115-132.
3. Yibulayin W, Abulizi S, Lv H, et al. Minimally invasive oesophagectomy versus open esophagectomy for resectable esophageal cancer: A meta-analysis. World J Surg Oncol, 2016, 14(1): 304.
4. Yanasoot A, Yolsuriyanwong K, Ruangsin S, et al. Costs and benefits of different methods of esophagectomy for esophageal cancer. Asian Cardiovasc Thorac Ann, 2017, 25(7-8): 513-517.
5. Tamura M, Shimizu Y, Hashizume Y. Pain following thoracoscopic surgery: Retrospective analysis between single-incision and three-port video-assisted thoracoscopic surgery. J Cardiothorac Surg, 2013, 8: 153.
6. Hu W, Yuan Y, Chen L. Single-port thoracoscopic minimally invasive esophagectomy for esophageal cancer. World J Surg, 2019, 43(2): 567-570.
7. Zhang Z, Rong B, Guo M. Uniportal thoracoscopic McKeown esophagectomy. Indian J Surg, 2020: 1-3.
8. 严小鹏, 商澎, 史爱华, 等. 磁外科学体系的探索与建立. 科学通报, 2019, 64(8): 815-826.
9. Zhu H, Shang Y, Ma T, et al. 10-mm laparo-endoscopic single-site cholecystectomy using multiple magnetically anchored and controlled instruments. J Surg Res, 2019, 239: 166-172.
10. Lehman AC, Dumpert J, Wood NA, et al. Natural orifice cholecystectomy using a miniature robot. Surg Endosc, 2009, 23(2): 260-266.
11. Zeltser IS, Bergs R, Fernandez R, et al. Single trocar laparoscopic nephrectomy using magnetic anchoring and guidance system in the porcine model. J Urol, 2007, 178(1): 288-291.
12. Davis M, Davalos G, Ortega C, et al. Magnetic liver retraction: An incision-less approach for less invasive bariatric surgery. Obes Surg, 2019, 29(3): 1068-1073.
13. Cadeddu J, Fernandez R, Desai M, et al. Novel magnetically guided intra-abdominal camera to facilitate laparoendoscopic single-site surgery: Initial human experience. Surg Endosc, 2009, 23(8): 1894-1899.
14. 严小鹏, 李益行, 付军科, 等. 磁锚定技术辅助胸腔镜肺楔形切除术三例. 中国胸心血管外科临床杂志, 2020, 27(2): 228-229.
15. 任斯宇, 张家辉, 李益行, 等. 磁锚定技术的研究现状及临床应用分析. 中华普通外科杂志, 2020, 35(4): 343-345.
16. Gonzalez-Rivas D. Unisurgeon' uniportal video-assisted thoracoscopic surgery lobectomy. J Vis Surg, 2017, 3: 163.
17. Giaccone A, Solli P, Bertolaccini L. Magnetic anchoring guidance system in video-assisted thoracic surgery. J Vis Surg, 2017, 3: 17.
18. 张勇, 熊力, 李奇灵, 等. 磁锚定技术及其临床应用. 科学通报, 2020, 65(13): 1274-1282.
19. 张勇, 严小鹏, 史爱华, 等. 磁外科技术在胸外科中的应用进展. 中国胸心血管外科临床杂志, 2020, 27(3): 336-342.
20. 陈雯雯, 严小鹏, 雷凤萍, 等. 磁锚定牵引技术辅助胸腔镜下食管切除术的实验研究. 中国胸心血管外科临床杂志, 2021, 28(9): 1090-1094.
21. Zheng W, Zhu Y, Guo CH, et al. Esophageal suspension method in scavenging peripheral lymph nodes of the left recurrent laryngeal nerve in thoracic esophageal carcinoma through semi-prone-position thoracoscopy. J Cancer Res Ther, 2014, 10(4): 985-990.
22. 郑斌, 许锦鑫, 吴培训, 等. 密闭式单孔胸腹腔镜联合食管癌根治术的应用价值. 中华消化外科杂志, 2019, 18(3): 270-273.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Magnetic anchoring and traction technique-assisted thoracoscopic esophagectomy: Report of three cases

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