Intrathoracic linear stapled esophagogastric anastomosis: an alternative to the end to end anastomosis

Lyall A Gorenstein; Marc Bessler; Joshua R Sonett

doi:10.1016/j.athoracsur.2010.02.115

Intrathoracic linear stapled esophagogastric anastomosis: an alternative to the end to end anastomosis

Ann Thorac Surg. 2011 Jan;91(1):314-6. doi: 10.1016/j.athoracsur.2010.02.115.

Authors

Lyall A Gorenstein¹, Marc Bessler, Joshua R Sonett

Affiliation

¹ Department of Surgery, Division of Cardiothoracic Surgery, New York Presbyterian Hospital, New York, New York 10032, USA.

PMID: 21172549
DOI: 10.1016/j.athoracsur.2010.02.115

Abstract

Minimally invasive esophagectomy (MIE) is gradually gaining acceptance as an oncological sound procedure. The advantages of MIE arise from avoidance of a thoracotomy or laparotomy, resulting in decreased pulmonary morbidity and generally a faster recovery, yet not compromising the surgical benefit of esophagectomy in patients with cancer of the esophagus. No single technique of esophagectomy has proven itself superior to another from either an oncologic or survival perspective. The MIE is a technically demanding procedure that requires advanced endoscopic skills, especially when performing an intrathoracic anastomosis. We present an alternative intrathoracic anastomotic technique to the commonly performed EEA anastomosis.

MeSH terms

Anastomosis, Surgical / methods
Esophagectomy*
Humans
Minimally Invasive Surgical Procedures
Stomach / surgery*
Surgical Stapling*
Suture Techniques*