Minimally invasive intrathoracic anastomosis after Ivor Lewis esophagectomy for cancer: a review of transoral or transthoracic use of staplers
| Autor: | Suzanne S. Gisbertz, V Turrado Turrado Rodriguez, K. W. Maas, Surya S. A. Y. Biere, J J G Scheepers, D. L. van der Peet, M. A. Cuesta |
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| Přispěvatelé: | Surgery, CCA - Innovative therapy |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms Anastomosis medicine.medical_treatment Anastomotic Leak Constriction Pathologic Review Intrathoracic Surgical Staplers Esophagus Surgical Stapling Thoracoscopy medicine Humans Ivor Lewis Minimally invasive Laparoscopy medicine.diagnostic_test business.industry Anastomosis Surgical Oesophageal Esophageal cancer medicine.disease Surgery Esophagectomy Stenosis medicine.anatomical_structure business |
| Zdroj: | Maas, K W, Biere, S S A Y, Scheepers, J J G, Gisbertz, S S, Rodriguez, V T, van der Peet, D L & Cuesta, M A 2012, ' Minimally invasive intrathoracic anastomosis after Ivor Lewis esophagectomy for cancer: a review of transoral or transthoracic use of staplers ', Surgical Endoscopy, vol. 26, no. 7, pp. 1795-1802 . https://doi.org/10.1007/s00464-012-2149-z Surgical Endoscopy, 26(7), 1795-1802. Springer New York Surgical Endoscopy |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Background Minimally invasive Ivor Lewis esophagectomy is one of the approaches used worldwide for treating esophageal cancer. Optimization of this approach and especially identifying the ideal intrathoracic anastomosis technique is needed. To date, different types of anastomosis have been described. A literature search on the current techniques and approaches for intrathoracic anastomosis was held. The studies were evaluated on leakage and stenosis rate of the anastomosis. Methods The PubMed electronic database was used for comprehensive literature search by two independent reviewers. Results Twelve studies were included in this review. The most frequent applied technique was the stapled anastomosis. Stapled anastomoses can be divided into a transthoracic or a transoral introduction. This stapled approach can be performed with a circular or linear stapler. The reported anastomotic leakage rate ranges from 0 to 10%. The reported anastomotic stenosis rate ranges from 0 to 27.5%. Conclusions This review has found no important differences between the two most frequently used stapled anastomoses: the transoral introduction of the anvil and the transthoracic. Clinical trials are needed to compare different methods to improve the quality of the intrathoracic anastomosis after esophagectomy. |
| Databáze: | OpenAIRE |
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