Experience and technique of stapled mechanical cervical esophagogastric anastomosis Deepak Singh, MD, Richard H Maley, MD, Tibetha Santucci, RN, Robin.

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Presentation transcript:

Experience and technique of stapled mechanical cervical esophagogastric anastomosis Deepak Singh, MD, Richard H Maley, MD, Tibetha Santucci, RN, Robin S Macherey, RN, Susan Bartley, RN, Robert J Weyant, Rodney J Landreneau, MD The Annals of Thoracic Surgery Volume 71, Issue 2, Pages 419-424 (February 2001) DOI: 10.1016/S0003-4975(00)02337-7

Fig 1 Creation of gastric graft with ligation of left (Lt.) gastric artery and short gastric vessels. (Rt. = right.) The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 2 Delivery of gastric graft through the posterior mediastinum into the cervical region. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 3 Initial setup of the esophagogastrostomy. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 4 Creation of the posterolateral aspect of the esophagogastric anastomosis. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 5 Second application of endoscopic stapler device (endo-GIA) to complete the posterolateral aspect of the esophagogastric anastomosis. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 6 Final setup before completion of the total mechanical anastomoses. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 7 First application of endoscopic stapler device (endo-GIA) in the completion of the anterior aspect of the total mechanical anastomosis. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 8 Final application of endoscopic stapler device (endo-GIA) in completion of the anterior aspect of the total mechanical anastomosis. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)

Fig 9 Completed total mechanical anastomosis. The Annals of Thoracic Surgery 2001 71, 419-424DOI: (10.1016/S0003-4975(00)02337-7)