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

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Presentation on theme: "Novel T-Shaped Linear-Stapled Intrathoracic Esophagogastric Anastomosis for Minimally Invasive Ivor Lewis Esophagectomy  Yi-Nan Dong, MD, Liang Zhang,"— Presentation transcript:

1 Novel T-Shaped Linear-Stapled Intrathoracic Esophagogastric Anastomosis for Minimally Invasive Ivor Lewis Esophagectomy  Yi-Nan Dong, MD, Liang Zhang, MD, Nan Sun, MD, De-Gui Liu, MD, Ji-Jia Li, MD, Zhuang Tong, MD, Yong-Yu Liu, MD, PhD  The Annals of Thoracic Surgery  Volume 99, Issue 4, Pages (April 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Intraoperative view and (B) drawing show the gastric pouch (P). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Operative photograph and (B) drawing show port placement: utility port (1), camera port (2), and first (3) and second (4) auxiliary ports. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Operative photo and (B) drawing show an incision has been made on the gastric pouch (P), about 1 cm medial to the imaginary extension (dashed line) of the gastric conduit (C) staple line. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) Operative photo and (B) drawing show the esophageal stump (E) and gastric pouch (P) incision are aligned with stay sutures. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 (A) Operative photo and (B) drawing show the anvil and cartridge of the stapler are inserted and fired caudally into the esophageal stump (E) and pouch (P) incision, respectively. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 (A) Operative photo and (B) drawing show the stapler being fired along the existing staple line to establish the anterior wall of the anastomosis and to resect the gastric pouch (P) and redundant esophagus (E). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 (A) Operative photo and (B) drawing show the anastomosis is completed. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 (A) External and (B) gastroscopic internal views of the T-shaped anastomosis with three edges (1, 2, and 3). White arrow: tip of the gastroscope. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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