Department of Cardiothoracic Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing University, Nanjing, Jiangsu, China.
Department of Cardiothoracic Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Int J Med Robot. 2022 Feb;18(1):e2336. doi: 10.1002/rcs.2336. Epub 2021 Oct 8.
Oesophagogastric anastomosis is mainly complicated by its tediousness. We hope to modify an oesophagogastric anastomotic technique that simplifies anastomosis.
We conducted a retrospective analysis of 57 cases executed using reverse-puncture anastomotic (RPA) technique and 64 cases of manual purse anastomosis (MPA) technique for robot-assisted minimally invasive oesophagectomy (RAMIE). Baseline characteristics and perioperative outcomes were analysed.
There were no significant differences between the 2 groups with regards to demographic data and clinical features. All patients had R0 resection. Relative to MPA, RPA group experienced significantly shorter operation times (232.5 ± 33.84 min vs. 262.3 ± 83.94 min, p = 0.038).RPA group patients had shorter anastomotic times relative to MPA group patients (10.5 ± 3.4 min vs. 18.3 ± 4.1 min, p = 0.014). No adverse events were observed.
Reverse-puncture anastomosis is safe, feasible in RAMIE. This approach has the potential to efficiently shorten the anastomotic time and ensure safe operation.
胃食管吻合术主要因其繁琐而复杂。我们希望改进一种简化吻合的胃食管吻合技术。
我们对 57 例使用反向穿刺吻合（RPA）技术和 64 例手动荷包吻合（MPA）技术进行机器人辅助微创食管切除术（RAMIE）的患者进行了回顾性分析。分析了基线特征和围手术期结果。
两组患者在人口统计学数据和临床特征方面无显著差异。所有患者均行 R0 切除。与 MPA 相比，RPA 组的手术时间明显更短（232.5±33.84min 比 262.3±83.94min，p=0.038）。RPA 组的吻合时间也明显短于 MPA 组（10.5±3.4min 比 18.3±4.1min，p=0.014）。未观察到不良事件。
反向穿刺吻合在 RAMIE 中是安全且可行的。这种方法有可能有效地缩短吻合时间，确保手术安全。
