Completely minimally invasive Ivor Lewis esophagectomy: the preliminary experience of circular-stapled anastomosis with the trans-oral anvil / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1747-1750, 2010.
Article
in Chinese
| WPRIM
| ID: wpr-346360
ABSTRACT
<p><b>OBJECTIVE</b>to present the preliminary results of minimally invasive Ivor Lewis esophagectomy using a circular-stapled anastomosis with trans-oral anvil technique.</p><p><b>METHODS</b>six patients with esophageal cancer received minimally invasive Ivor Lewis oesophagectomy from April 2010 to June 2010. There were 5 males and 1 female with mean age of 55 years (ranging 38 to 69 years). The lesion located in cardiac in 1 case, in lower third of the esophagus in 4 cases and in middle third in 1 case. The abdominal portion was operated laparoscopically. The thoracic portion was done using thoracoscopic techniques. The esophago-gastric anastomosis was created using a 25 mm anvil passed trans-orally and connected to a 90 cm long polyvinyl chloride delivery tube through an opening in the esophageal stump. The anastomosis was completed by joining the anvil to a circular stapler (end-to-end anastomosis stapler) inserted into the gastric conduit.</p><p><b>RESULTS</b>six patients with esophageal squamous cell cancer (n = 5) and small-cell cancer (n = 1) underwent an Ivor Lewis esophagectomy. All the operation was successfully performed without intra-operative technical failures of the anastomosis. There was no severe postoperative complications. The mean operation time was 380 min. The mean blood loss was 300 ml. pTNM staging T2N0M0 in 3 cases, T2N1M0 in 1 case and T3N0M0 in 2 cases.</p><p><b>CONCLUSIONS</b>the circular-stapled anastomosis with the trans-oral anvil is an efficient and safe technique for esophago-gastric anastomosis.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach
/
General Surgery
/
Thoracoscopy
/
Esophageal Neoplasms
/
Anastomosis, Surgical
/
Esophagectomy
/
Laparoscopy
/
Surgical Stapling
/
Esophagus
/
Methods
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2010
Type:
Article
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