Department of Thoracic Surgery, the Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Department of Thoracic Surgery, the Second Affiliated Hospital of Air Force Medical University, Xi'an, China.
Ann Thorac Surg. 2022 Apr;113(4):e307-e310. doi: 10.1016/j.athoracsur.2021.06.028. Epub 2021 Jul 13.
For McKeown esophagectomy, hand-sewn and mechanical esophagogastric anastomosis techniques have been improved for constructing esophagogastrostomy. However, postoperative anastomosis-related complication rates remain high in patients undergoing cervical anastomosis. Here, we report an original and reliable hand-sewn cervical tunnel esophagogastric anastomosis technique to maximally reduce cervical anastomotic leakage and stricture rates after McKeown esophagectomy. The key features and innovations of cervical tunnel esophagogastric anastomosis are the right gastroepiploic artery as the center for the esophagogastric anastomosis to reduce ischemia, sufficient width of the anastomotic site for anastomosis without stricture, enfolding of the anastomotic site by the tunnel, and tension- and rotation-free anastomosis.
对于 McKeown 食管癌切除术，已经改进了手工缝合和机械食管胃吻合技术来构建食管胃吻合。然而，在接受颈部吻合的患者中，术后吻合相关并发症的发生率仍然很高。在这里，我们报告了一种原始而可靠的手工缝合颈隧道食管胃吻合技术，以最大程度地降低 McKeown 食管癌切除术后的颈部吻合口漏和狭窄率。颈隧道食管胃吻合的关键特点和创新之处在于以胃网膜右动脉为中心进行食管胃吻合，以减少缺血，吻合部位有足够的宽度以避免狭窄，吻合部位被隧道包裹，以及无张力和无旋转的吻合。
