| Autor: |
Wang, Wen-Ping, Chen, Long-Qi, Zhang, Han-Lu, Yang, Yu-Shang, He, Song-Lin, Yuan, Yong, Wang, Yun |
| Předmět: |
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| Zdroj: |
Digestive Surgery; May2019, Vol. 36 Issue 3, p218-225, 8p, 4 Color Photographs, 3 Charts |
| Abstrakt: |
>bold<>italic/italic<>/bold< Intrathoracic>bold<>italic<>/italic<>/bold< esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. >bold<>italic/italic<>/bold< "Side-insertion" technique was used for anvil placement and purse string suture for intrathoracic anastomosis at RAILE. Medical records for consecutive patients who had undergone robot-assisted minimally invasive Ivor-Lewis esophagectomy for cancer between January 2015 and June 2018 were analyzed. >bold<>italic/italic<>/bold< A total of consecutive 31 patients were enrolled. There was no conversion to open thoracotomy in this cohort. Mean operation duration in the robotic group was 387.4 ± 68.2 min. Median estimated blood loss was 110 mL (range 50–400 mL). Two patients (6.5%) had postoperative anastomotic leak. No postoperative reoperation was needed and there were no mortality. Six patients (19.4%) had anastomotic stricture and 2 patients of them needed endoscopic dilation. >bold<>italic/italic<>/bold< RAILE is safe and feasible. Our modified procedure highlighting the "side-insertion" method may simplify the process of intrathoracic anvil placement and purse string suture for anastomosis at RAILE. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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