Minimally invasive esophagectomy with cervical esophagogastric anastomosis

J Gastrointest Surg. 2012 Sep;16(9):1775-81. doi: 10.1007/s11605-012-1895-5. Epub 2012 May 2.

Abstract

Objective: Thoracoscopic dissection of the esophagus and laparoscopic dissection of the stomach with cervical esophagogastric anastomosis is a safe method for resection of esophageal and gastroesophageal junction malignancy.

Setting: The setting was at University Tertiary Care Center.

Patients: Subjects are patients with esophageal or gastroesophageal junction malignancy undergoing minimally invasive esophagectomy with cervical esophagogastric anastomosis.

Main outcome measures: Technique of a 6-cm side-to-side stapled cervical esophagogastric anastomosis is described.

Results: The technique of minimally invasive esophagectomy with side-to-side stapled cervical esophagogastric anastomosis is described.

Conclusions: Thoracoscopic dissection of the esophagus, laparoscopic dissection of the stomach, and a side-to-side stapled cervical esophagogastric anastomosis is safe, oncologically appropriate, and provides excellent functional results.

MeSH terms

  • Anastomosis, Surgical
  • Esophageal Neoplasms / surgery*
  • Esophagectomy / methods*
  • Esophagogastric Junction*
  • Esophagus / surgery*
  • Humans
  • Laparoscopy
  • Minimally Invasive Surgical Procedures
  • Neck
  • Stomach / surgery*
  • Surgical Stapling
  • Thoracoscopy