Completely minimally invasive Ivor Lewis esophagectomy: the preliminary experience of circular-stapled anastomosis with the trans-oral anvil

• Published in: Chung-hua wai kʿo tsa chih Vol. 48; no. 22; p. 1747
• Main Authors: Li, Hui, Hu, Bin, You, Bin, Miao, Jin-Bai, Fu, Yi-Li, Chen, Qi-Rui, Wang, Yang
• Format: Journal Article
• Language: Chinese
• Published: China 15.11.2010
• Subjects: Adult; Aged; Anastomosis, Surgical - methods; Esophageal Neoplasms - surgery; Esophagectomy - methods; Esophagus - surgery; Female; Humans; Laparoscopy; Male; Middle Aged; Stomach - surgery; Surgical Stapling - methods; Thoracoscopy
• ISSN: 0529-5815

to present the preliminary results of minimally invasive Ivor Lewis esophagectomy using a circular-stapled anastomosis with trans-oral anvil technique. six patients with esophageal cancer received minimally invasive Ivor Lewis oesophagectomy from April 2010 to June 2010. There were 5 males and 1 female with mean age of 55 years (ranging 38 to 69 years). The lesion located in cardiac in 1 case, in lower third of the esophagus in 4 cases and in middle third in 1 case. The abdominal portion was operated laparoscopically. The thoracic portion was done using thoracoscopic techniques. The esophago-gastric anastomosis was created using a 25 mm anvil passed trans-orally and connected to a 90 cm long polyvinyl chloride delivery tube through an opening in the esophageal stump. The anastomosis was completed by joining the anvil to a circular stapler (end-to-end anastomosis stapler) inserted into the gastric conduit. six patients with esophageal squamous cell cancer (n = 5) and small-cell cancer (n = 1) underwent an Ivor