Diamond-shaped anastomosis in Ivor Lewis minimally invasive esophagectomy for esophageal carcinoma
10.3760/cma.j.issn.1007-631X.2017.06.007
- VernacularTitle:菱形吻合技术在胸腔镜和腹腔镜联合治疗中下段食管癌中的应用
- Author:
Li LI
;
Yingzhi QIN
;
Jia HE
;
Dongjie MA
;
Zhenhuan TIAN
;
Cheng HUANG
;
Yeye CHEN
;
Shanqing LI
- Keywords:
Esophageal neoplasms;
Anastomosis,surgical;
Esophagectomy;
Thoracoscopes;
Laparoscopes
- From:
Chinese Journal of General Surgery
2017;32(6):485-487
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate initial results of Ivor Lewis minimally invasive esophagectomy (MIE) for esophageal carcinoma using a diamond-shaped anastomosis with 45 mm linear-stapler.Methods Clinical data of 12 patients diagnosed middle to distal esophageal carcinoma and undergoing Ivor Lewis minimally invasive esophagetomy using a diamond-shaped anastomosis technique during Dec.2015 and Nov.2016 in Peking Union Medical College Hospital were collected and analyzed retrospectively.Results The mean operation time was (378 ± 56) min,the mean blood loss was (280 ± 120) ml,and the mean postoperative hospital stay was (12.2 ± 2.0) days.No positive margin,no peri-operative death occurred.Postoperative complication included atelectasis and pulmonary infection in 1 patient,paresis of left recurrent laryngeal nerve in 1 patient.No anastomotic leak or constriction occurred.Median follow up was 7 months,11 patients had no evidence of disease progress,1 patient had subcutanecous metastasis and was reoperated.Conclusion The diamond anastomosis technique utilizing in Ivor Lewis MIE for esophageal carcinoma is feasible,easy to manipulate,safe and reliable.
