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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 on theme: "Experience and technique of stapled mechanical cervical esophagogastric anastomosis  Deepak Singh, MD, Richard H Maley, MD, Tibetha Santucci, RN, Robin."— Presentation transcript:

1 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 (February 2001) DOI: /S (00)

2 Fig 1 Creation of gastric graft with ligation of left (Lt.) gastric artery and short gastric vessels. (Rt. = right.) The Annals of Thoracic Surgery  , DOI: ( /S (00) )

3 Fig 2 Delivery of gastric graft through the posterior mediastinum into the cervical region. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

4 Fig 3 Initial setup of the esophagogastrostomy.
The Annals of Thoracic Surgery  , DOI: ( /S (00) )

5 Fig 4 Creation of the posterolateral aspect of the esophagogastric anastomosis. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

6 Fig 5 Second application of endoscopic stapler device (endo-GIA) to complete the posterolateral aspect of the esophagogastric anastomosis. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

7 Fig 6 Final setup before completion of the total mechanical anastomoses. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

8 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  , DOI: ( /S (00) )

9 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  , DOI: ( /S (00) )

10 Fig 9 Completed total mechanical anastomosis.
The Annals of Thoracic Surgery  , DOI: ( /S (00) )


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