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Title: Intrathoracic esophagogastric anastomosis using a linear stapler following minimally invasive esophagectomy in the prone position.
Authors: Okabe, Hiroshi  KAKEN_id
Tanaka, Eiji  KAKEN_id
Tsunoda, Shigeru  kyouindb  KAKEN_id
Obama, Kazutaka  kyouindb  KAKEN_id
Sakai, Yoshiharu  kyouindb  KAKEN_id
Author's alias: 岡部,  寛
Keywords: Minimally invasive esophagectomy
Esophageal cancer
Esophagogastric anastomosis
Prone position
Issue Date: Feb-2013
Publisher: Springer-Verlag
Journal title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Volume: 17
Issue: 2
Start page: 397
End page: 402
Abstract: [Background] Minimally invasive esophagectomy (MIE) in the prone position typically includes thoracoscopic mediastinal dissection and laparoscopic gastric tube construction, followed by esophagogastric anastomosis in the neck. We introduced an intrathoracic esophagogastric anastomosis using linear staplers. [Technique] The lower mediastinal dissection and the gastric tube construction are done in the laparoscopic part of the operation. The esophagus is transected at the cranial level of the aortic arch after the completion of the upper mediastinal lymph node dissection in the prone position. The excess length of the gastric tube is sacrificed before making the anastomosis. Side-to-side esophagogastric anastomosis is performed using a 35-mm endoscopic linear stapler. The entry hole is closed with hand suturing using the posterior and the axillary port. [Results] Twenty-six patients with middle or lower esophageal tumor underwent MIE with an intrathoracic anastomosis. The mean thoracoscopic procedure time was 302 min. One patient had an anastomotic leakage, which was successfully managed with drainage. There has been no anastomotic stenosis. Pneumonia was observed in two patients. There was no mortality. [Conclusions] MIE with an intrathoracic linear-stapled anastomosis with the patient in the prone position is safe and feasible.
Rights: The final publication is available at
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
DOI(Published Version): 10.1007/s11605-012-2009-0
PubMed ID: 22911126
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