Document Detail


Thoracoscopic construction of an intrathoracic esophagogastric anastomosis using a circular stapler: transoral placement of the anvil.
MedLine Citation:
PMID:  18721597     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study is to describe a novel technique for thoracoscopic construction of an intrathoracic esophagogastrostomy using a circular stapler. DESCRIPTION: 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. EVALUATION: 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. CONCLUSIONS: 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.
Authors:
T Ninh Nguyen; Marcelo W Hinojosa; Brian R Smith; James Gray; Kevin M Reavis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  86     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-09-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  989-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of California Irvine Medical Center, Orange, California, USA. ninhn@uci.edu
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Surgical / methods*
Esophagus / surgery*
Humans
Laparoscopy
Stomach / surgery*
Surgical Procedures, Minimally Invasive / methods
Surgical Staplers*
Thoracoscopy*
Comments/Corrections
Comment In:
Ann Thorac Surg. 2008 Sep;86(3):992-3   [PMID:  18721598 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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