Abstract
In 1991, Dallemagne introduced the right thoracoscopic approach for oesophageal cancer with total lung block, thereby mimicking the conventional approach (1). Initial reports showed a high conversion rate to thoracotomy of 10% to 17% and a high respiratory morbidity of 17% to 42% (2-3). Searching for reduction of the conversion rate and the respiratory infection rate, Cuschieri et al. designed the thoracoscopic approach in prone decubitus position so that a total collapse of the lung was no longer necessary for dissecting the oesophagus and thereby possibly reducing the rate of respiratory infections (4).
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