Zhang H, Chen L, Geng Y, Zheng Y, Wang Y
Dis Esophagus. 2017 May 1;30(5):1-5. doi: 10.1093/dote/dow021.
Thoracoscopic intrathoracic esophagogastrostomy is a technically demanding operation; these technical requirements restrict the extensive application of minimally invasive Ivor-Lewis esophagectomy. In an attempt to reduce the difficulty of this surgical procedure, this study developed a modified anastomotic technique for thoracolaparoscopic Ivor-Lewis esophagectomy. During the entirety of this modified approach, neither technically challenging operations such as intrathoracic suturing or knotting, nor special instruments such as an OrVil system or a reverse-puncture head are required. Between October 2015 and January 2016, 15 consecutive patients with cancer in the distal third of the esophagus or the gastric cardia underwent this modified surgical procedure. The good short-term outcomes that were achieved suggest that the modified anastomotic technique is safe and feasible for thoracolaparoscopic Ivor-Lewis esophagectomy.
胸腔镜胸内食管胃吻合术是一项技术要求很高的手术；这些技术要求限制了微创Ivor-Lewis食管切除术的广泛应用。为了降低该手术的难度，本研究开发了一种用于胸腹腔镜Ivor-Lewis食管切除术的改良吻合技术。在整个改良方法中，既不需要像胸内缝合或打结这样具有技术挑战性的操作，也不需要像OrVil系统或反向穿刺头这样的特殊器械。在2015年10月至2016年1月期间，15例连续的食管远端三分之一或贲门癌患者接受了这种改良手术。所取得的良好短期结果表明，改良吻合技术对于胸腹腔镜Ivor-Lewis食管切除术是安全可行的。
