Pursestring Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy

被引:33
作者
Zhang, Ren-Quan [1 ]
Xia, Wan-Li [1 ]
Kang, Ning-Ning [1 ]
Ge, Wei [1 ]
Chen, An-Guo [1 ]
Zhu, Ke-Chao [1 ]
机构
[1] Anhui Med Univ, Affiliated Hosp 1, Dept Thorac Surg, Hefei 230022, Anhui, Peoples R China
关键词
INTRATHORACIC ANASTOMOSIS;
D O I
10.1016/j.athoracsur.2012.06.066
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a pursestring stapled anastomotic technique for minimally invasive Ivor Lewis esophagectomy, in which a pursestring is hand sewn through the muscular layer of the intact esophagus by using one piece of 3-0 Prolene suture. The anvil of a circular stapler is inserted through an esophageal incision, 2 to 3 cm distal to the pursestring, and secured by the pursestring. The esophagus is transected, and the mucosa of the proximal stump is retained 5 mm longer than the adjacent muscular layer. The gastroesophageal anastomosis is completed and embedded by using the previously reserved 2 cm of mediastinal pleura. (Ann Thorac Surg 2012;94:2133-5) (c) 2012 by The Society of Thoracic Surgeons
引用
收藏
页码:2133 / 2135
页数:3
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