Thoracoscopic construction of an intrathoracic esophagogastric anastomosis using a circular stapler: transoral placement of the anvil

The Annals of Thoracic Surgery
T Ninh NguyenKevin M Reavis

Abstract

The purpose of this study is to describe a novel technique for thoracoscopic construction of an intrathoracic esophagogastrostomy using a circular stapler. Conventional method for construction of the esophagogastric anastomosis requires placement of the anvil through an esophageal stump and securing it with a pursestring suture. Advances in stapler technology now permit the anvil to be placed transorally and positioned at the esophageal stump without the need for a pursestring suture. Ten patients underwent laparoscopic and thoracoscopic esophagectomy with construction of an intrathoracic esophagogastric anastomosis using a circular stapler technique. The anvil was placed transorally in all patients without difficulty. There were no operative complications or postoperative leaks. The transoral placement of the anvil during thoracoscopic construction of an esophagogastrostomy is technically feasible and may facilitate the performance of the esophagogastric anastomosis using a circular stapler.

References

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Citations

Oct 6, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Evelyn L KachikwuJoshua D I Ellenhorn
Nov 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Bernadette U LaxaDawn E Jaroszewski
Sep 2, 2011·World Journal of Surgery·Hiroya TakeuchiYuko Kitagawa
Jun 7, 2011·Surgical Oncology Clinics of North America·Erin M HannaJonathan C Salo
Dec 15, 2015·The Annals of Thoracic Surgery·Ping XiaoGuang-Yuan Liu
Aug 30, 2008·The Annals of Thoracic Surgery·Richard F Heitmiller
Jul 6, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·N RunkelM Ketelhut
Apr 20, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Itasu NinomiyaTetsuo Ohta
Mar 23, 2005·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S-Y LeeS Kim
Jan 10, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Benjamin M MotzJonathan C Salo
Oct 4, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Michele ValmasoniStefano Merigliano
Sep 15, 2015·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Anna L McGuire, Sebastien Gilbert
Apr 11, 2013·Cancer Control : Journal of the Moffitt Cancer Center·Maki YamamotoKenneth L Meredith
Dec 1, 2013·Journal of Robotic Surgery·Ismael Diez Del ValJaime Jesus Mendez Martin

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