Nguyen T Ninh, Hinojosa Marcelo W, Smith Brian R, Gray James, Reavis Kevin M
Department of Surgery, University of California Irvine Medical Center, Orange, California, USA.
Ann Thorac Surg. 2008 Sep;86(3):989-92. doi: 10.1016/j.athoracsur.2008.03.034.
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.
本研究旨在描述一种使用圆形吻合器经胸腔镜构建胸段食管胃吻合术的新技术。
传统的食管胃吻合术构建方法需要将吻合器砧座经食管残端置入并用荷包缝合固定。吻合器技术的进步现在允许经口放置砧座并将其定位于食管残端，而无需荷包缝合。
10例患者接受了腹腔镜和胸腔镜食管切除术，并使用圆形吻合器技术构建胸段食管胃吻合术。所有患者经口放置砧座均无困难。无手术并发症或术后漏。
在胸腔镜食管胃吻合术构建过程中经口放置砧座在技术上是可行的，并且可能有助于使用圆形吻合器进行食管胃吻合。
