Pursestring stapled anastomotic technique for minimally invasive Ivor Lewis esophagectomy.
Where this comes from
- Record sourced from PubMed, PMID 23176937.
- Also identified by DOI 10.1016/j.athoracsur.2012.06.066.
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Abstract
We describe a pursestring stapled anastomotic technique for minimally invasive Ivor Lewis esophagectomy, in which a pursestring is hand sewn through the muscular layer of the intact esophagus by using one piece of 3-0 Prolene suture. The anvil of a circular stapler is inserted through an esophageal incision, 2 to 3 cm distal to the pursestring, and secured by the pursestring. The esophagus is transected, and the mucosa of the proximal stump is retained 5 mm longer than the adjacent muscular layer. The gastroesophageal anastomosis is completed and embedded by using the previously reserved 2 cm of mediastinal pleura.
Medical subject headings
- Esophageal Neoplasms
- Esophagectomy
- Esophagus
- Laparoscopy
- Suture Techniques
- Sutures