Pursestring Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy Ren-Quan Zhang, MD, Wan-Li Xia, MD, Ning-Ning Kang, MD, Wei.

Slides:

Advertisements

Similar presentations

Blunt Tracheal Transection Repair Requiring Open Abdominal Management

Advertisements

Ninh T. Nguyen, MD, Cam-Ly Tran, MD, Dmitri V

Esophageal Cancer With Esophageal Duplication Cyst

Benny Weksler, MD, Jennifer L. Sullivan, MD

Embedded Three-Layer Esophagogastric Anastomosis Reduces Morbidity and Improves Short-Term Outcomes After Esophagectomy for Cancer Hai-bo Sun, MD, Yin.

Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer Shenhai Wei, MD, PhD,

Preoperative Laparoscopic Ligation of the Left Gastric Vessels in Preparation for Esophagectomy Ninh T. Nguyen, MD, Mario Longoria, MD, Allen Sabio,

Adenocarcinoma in a 40-Year-Old Colonic Interposition Treated With Ivor Lewis Esophagectomy and Esophagogastric Anastomosis David D. Shersher, MD, Edward.

Xiao-San Zhu, MM, Yi-Chen Dai, MD, Zhang-Xing Chen, MD

Kyla D. Joubert, MD, Richard D. Betzold, MD, Matthew A. Steliga, MD

Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei.

Esophageal Stent Placement for the Treatment of Acute Intrathoracic Anastomotic Leak After Esophagectomy Richard K. Freeman, MD, Amy Vyverberg, RN, Anthony.

Spiral Tracheoplasty After Tangential Resection of Trachea

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Extraesophageal Saline During Endoscopic Submucosal Dissection in a Patient With Early Esophageal Squamous Cell Carcinoma Jian-jun Li, MD, PhD, Hong-bo.

Salvage Resections for Recurrent or Persistent Cancer of the Proximal Esophagus After Chemoradiotherapy Colin Schieman, MD, Dennis A. Wigle, MD, PhD,

Primary Mediastinal Undifferentiated Carcinoma Mimicking Type B Aortic Intramural Hematoma Qiang Zhu, MD, Wen-cheng Che, MD, Wei Wang, MD, Tian-chang.

Minimally invasive Ivor Lewis esophagectomy

Pieter C. van der Sluis, MD, Roy J. J

A Protective Device for Negative-Pressure Therapy in Patients With Mediastinitis Richard Ingemansson, MD, PhD, Malin Malmsjö, MD, PhD, Sandra Lindstedt,

Andrew C. Chang, MD, Julia S. Lee, MS, Konrad T

Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Ischemic Conditioning of the Gastric Conduit Prior to Esophagectomy Improves Mucosal Oxygen Saturation Marc Bludau, MD, Arnulf H. Hölscher, MD, FACS,

Subhasis Chatterjee, MD, John C. Alexander, MD, Paul J

Pericardial Conduit for Pulmonary Artery Reconstruction by Surgical Stapling Noriyuki Matsutani, MD, Eiichi Kanai, DVM, Ryutaro Hanawa, MD, Yusuke Takahashi,

Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy With Colonic Interposition Ninh T. Nguyen, MD, FACS, Marcelo Hinojosa, MD, Christine Fayad, BS,

Who Do You Say You Are? The Annals of Thoracic Surgery

Modified Ross Procedure to Prevent Autograft Dilatation

Aortoplasty for Management of the Dilated Distal Ascending Aorta During Proximal Aortic Reconstruction Emmanuel A. Amulraj, MD, William D.T. Kent, MD,

Robotic Assisted Extended Sleeve Lobectomy After Neoadjuvant Chemotherapy Xufeng Pan, MD, Yong Chen, MD, Jianxin Shi, MD, Heng Zhao, MD, Haiquan Chen,

Short-Term Outcomes of Minimally Invasive Ivor-Lewis Esophagectomy for Esophageal Cancer Ming-ran Xie, MD, PhD, Chang-qing Liu, MD, Ming-fa Guo, MD,

Robert James Cerfolio, MD, FACS, FCCP, Ayesha S

Dysphagia in the Young Male: The Ringed Esophagus

Foreign Bodies in the Esophagus

Pulmonary Artery Reconstruction With Pulmonary Vein Conduit for Lung Cancer: Medium-Term Results Antonio D'Andrilli, MD, Giulio Maurizi, MD, Claudio.

Single-Incision Thoracoscopic Surgery Using an Anchoring Suture of the Lung Parenchyma for Two-Directional Traction Sang Kwon Lee, MD, Bong Soo Son,

Reply The Annals of Thoracic Surgery

Rolf Weidenhagen, MD, Wolfgang H. Hartl, MD, Klaus U

Daniel L. Miller, MD, Gerald A. Helms, MD, William R. Mayfield, MD

Robot-Assisted Minimally Invasive Ivor Lewis Esophagectomy With Real-Time Perfusion Assessment Arielle Hodari, MD, Ko Un Park, MD, Brian Lace, MD, Athanasios.

Foreign Bodies in Pleura and Chest Wall

Editorial Board, January 2010

Minimally Invasive Esophagogastrectomy for Esophagogastric Junctional Cancer Hirokazu Noshiro, MD, Yoshihiro Miyasaka, MD, Michiaki Akashi, MD, Hironori.

Novel T-Shaped Linear-Stapled Intrathoracic Esophagogastric Anastomosis for Minimally Invasive Ivor Lewis Esophagectomy Yi-Nan Dong, MD, Liang Zhang,

Balloon Valvuloplasty Through the Right Ventricle: Another Treatment of Pulmonary Atresia With Intact Ventricular Septum Qian-zhen Li, MD, Hua Cao, MD,

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

PillCam in Gastric Conduit After Ivor Lewis Esophagectomy

An Unusual Cause of Hemoptysis in a Young Woman

New Minimally Invasive Technique of Perpulmonary Device Closure of Patent Ductus Arteriosus Through a Parasternal Approach Li Hongxin, MD, Guo Wenbin,

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Minimally Invasive Surgical Aortic Valve Replacement Through a Right Anterior Thoracotomy: How I Teach It Mahesh K. Ramchandani, MD, Moritz C. Wyler.

Off-Pump Plication of Left Ventricular Aneurysm

Acute Esophageal Necrosis: A Case Series and Long-Term Follow-Up

Risk Factors for Local Recurrence and Optimal Length of Esophagectomy in Esophageal Squamous Cell Carcinoma Chang Hyun Kang, MD, PhD, Yoohwa Hwang, MD,

Patrick O. Myers, MD The Annals of Thoracic Surgery

A New Minimally Invasive Technique to Occlude Ventricular Septal Defect Using an Occluder Device Feng Li, MD, Ming Chen, MD, ZhaoKun Qiu, MD, Jing Lu,

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Xun Zhang, MD, Shizhao Cheng, MD, Yijun Xu, MD, Shunhua Wang, MD

The Annals of Thoracic Surgery

Invited Commentary The Annals of Thoracic Surgery

An Easy and Useful Exposure Technique Using a Malleable Ring for the Distal Anastomosis in Total Arch Replacement Shigehiko Tokunaga, MD, Shota Yasuda,

Robroy H. MacIver, MD, Sudhir Sundaresan, MD, Alberto L

Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil Ninh T. Nguyen,

Mark I. Block, MD The Annals of Thoracic Surgery

Shih-Rong Hsieh, MD, Chien-Chang Chen, MD, Hao-Ji Wei, MD

The Impact of New Technology on Cardiothoracic Surgical Practice

Percutaneous Device Occlusion and Minimally Invasive Surgical Repair for Perimembranous Ventricular Septal Defect Zhao Yang Chen, MD, Bing Ru Lin, MD,

Johnathan Zhang, MD, Jason B

Huseyin Okutan, MD The Annals of Thoracic Surgery

How I Teach Hemi-Arch Replacement

Presentation transcript:

Pursestring Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy Ren-Quan Zhang, MD, Wan-Li Xia, MD, Ning-Ning Kang, MD, Wei Ge, MD, An-Guo Chen, MD, Ke-Chao Zhu, MD The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 2133-2135 (December 2012) DOI: 10.1016/j.athoracsur.2012.06.066 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A pursestring (blue) is hand sewn through the muscular layer (grey) of the esophagus, which is 5–8 cm proximal to the esophageal cancer. (B) An incision is made in the esophageal wall 2–3 cm distal to the pursestring. (C) The anvil head is inserted through the incision and pushed above the pursestring. The pursestring is tied, and the transection line (dotted line) is determined. (D) The mucosal (red) and muscular (grey) layers are transected separately, and the stump mucosa is retained 5 mm longer than the adjacent muscular layer. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A pursestring is hand sewn through the muscular layer of the esophagus with one piece of 3-0 Prolene suture. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The anvil of the stapler is inserted through the esophageal incision while the incision is held open with three grasping devices. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The esophagus is transected in such a manner that the mucosal layer of the proximal stump is kept 5 mm longer than the adjacent muscular layer. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The side of the gastric conduit is anastomosed to the end of the esophagus by joining the anvil to the stapler. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 The anastomosis is embedded by use of the previously reserved 2 cm of mediastinal pleura. The Annals of Thoracic Surgery 2012 94, 2133-2135DOI: (10.1016/j.athoracsur.2012.06.066) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions