Background: Intrathoracic esophagogastric anastomosis following minimally invasive Ivor-Lewis esophagectomy is a technically demanding surgical technique that can result in serious intrathoracic infections when anastomotic leakage occurs. Herein, we report a novel side-overlap esophagogastric anastomosis with pleural closure for esophagogastric junction cancer.
Methods: The 3 key points of our novel technique were the following: (1) overlap esophagogastric anastomosis and closure of the entry hole were all performed using a linear stapler; (2) the pleura was closed to separate the anastomotic site from the thoracic cavity; and (3) the mediastinal drain was inserted transhiatally from the abdominal cavity.
Results: This modified anastomosis procedure was performed on 8 consecutive patients at our institution. The median overall/thoracoscopic operating time and estimated blood loss were 652.5/241.5 min and 89 mL, respectively. No mortality or serious postoperative complications occurred, and the median postoperative hospital stay was 22 days (range, 17 to 37 d).
Conclusion: This novel thoracoscopic overlap esophagogastric reconstruction procedure with pleural closure is safe and feasible.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SLE.0000000000001250 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[A preliminary exploration of reduced port laparoscopic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (ROSF)].
Zhonghua Wei Chang Wai Ke Za Zhi
October 2024
Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215004, China.
This study aimed to share preliminary experiences of single-incision plus two ports laparoscopic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (ROSF). Following the 6th edition of the Japanese Gastric Cancer Treatment Guidelines, proximal gastrectomy with lymphadenectomy was performed. Using a single-port approach, the esophagus was transected at least 2 cm above the tumor's upper margin with linear staplers.
View Article and Find Full Text PDF[Evaluation of esophagogastric anastomosis with additional mechanical anti-reflux barrier after proximal gastrectomy].
Zhonghua Wei Chang Wai Ke Za Zhi
October 2024
Department of General Surgery, Second Affiliated Hospital of Air Force Military Medical University, Xi'an 710038, China.
Article Synopsis
- The use of proximal gastrectomy for upper gastric cancer and esophagogastric junction (AEG) patients is on the rise due to advances in function-preserving surgery techniques.
- Issues like postoperative reflux esophagitis and anastomotic stenosis have become major concerns as these surgeries increase in frequency.
- Researchers have developed various esophagogastric reconstruction methods to minimize reflux, but there is still no consensus on the ideal technique, highlighting the need for further exploration and understanding in this area.
Final results of a randomized controlled trial: comparison of the efficacy and safety between totally laparoscopic and laparoscopic-assisted total gastrectomy for advanced siewert III esophagogastric junction cancer and upper and middle third gastric cancer.
Int J Surg
August 2024
Department of Digestive Surgery, the First Affiliated Hospital of Air Force Military Medical University, Xi'an 710032, China.
Background: This study aimed to compare the efficacy and safety of TLTG with the overlap technique to LATG in patients with advanced Siewert III Esophagogastric Junction Cancer and upper and middle third gastric cancer.
Methods: This single-center RCT enrolled 292 patients with the mentioned cancers, randomly assigned to TLTG overlap (n=146) or LATG (n=146) groups. Data on demographics, pathology, intraoperative variables, postoperative complications, recovery parameters, and 3-year survival were collected.
Targeted Agents in Esophagogastric Cancer Beyond Human Epidermal Growth Factor Receptor-2.
Hematol Oncol Clin North Am
June 2024
Division of Hematology, Medical Oncology and Palliative Care, Department of Medicine, University of Wisconsin School of Medicine and Public Health, University of Wisconsin, 600 Highland Avenue, Madison, WI 53792, USA; University of Wisconsin, Carbone Cancer Center, Madison, WI, USA. Electronic address:
Gastroesophageal cancers are highly diverse tumors in terms of their anatomic and molecular characteristics, making drug development challenging. Recent advancements in understanding the molecular profiles of these cancers have led to the identification of several new biomarkers. Ongoing clinical trials are investigating new targeted agents with promising results.
View Article and Find Full Text PDF[Preliminary study on implementation of modified tubular gastric side-overlap anastomosis in laparoscopic proximal gastrectomy].
Zhonghua Wei Chang Wai Ke Za Zhi
February 2024
Department of Gastrointestinal Surgery, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China.
To investigate the feasibility and safety of implementing modified tubular gastric side-overlap anastomosis in laparoscopic proximal gastrectomy. In this retrospective, descriptive case series, we analyzed clinical data of seven patients who had undergone laparoscopic proximal gastrectomy and gastrointestinal reconstruction with modified tubular gastric side-overlap anastomosis from October 2022 to March 2023 in the Second Affiliated Hospital of Fujian Medical University. The study patients comprised five men and two women aged 57-72 years and of body mass index 18.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!