Abstract
Background
In endoscopic surgery, one of the greatest problems is the difficulty with the reconstructive procedure. This problem frequently makes operating times longer. The authors have performed thoracoscopic esophagectomy and intrathoracic esophagogastric anastomosis for reconstruction using a circular stapler for the esophageal cancer. Although the circular stapler is a useful device for gastrointestinal anastomosis, it was difficult to place a purse-string suture and to fixate the anvil into the proximal esophagus endoscopically.
Methods
The authors devised a new procedure for the placement of the purse-string suture by using an Endo-Stitch device along with a new method to incise the esophageal wall and thereby facilitate fixation of the anvil.
Results
The authors attempted this procedure for five patients. The anastomoses were performed successfully.
Conclusions
The new procedure can make endoscopic intrathoracic anastomosis feasible and safe. In addition, this procedure can be applied widely to other endoscopic reconstructions.
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References
JB Adams PG Schulam RG Moore AW Partin LR Kavoussi (1995) ArticleTitleNew laparoscopic suturing device: initial clinical experience Urology 46 242–245 Occurrence Handle10.1016/S0090-4295(99)80200-3 Occurrence Handle1:STN:280:ByqA2M%2FptVw%3D Occurrence Handle7624994
T Akaishi I Kaneda N Higuchi Y Kuriya J Kuramoto T Toyoda A Wakabayashi (1996) ArticleTitleThoracoscopic en bloc total esophagectomy with radical mediastinal lymphadenectomy J Thorac Cardiovasc Surg 112 1533–1541 Occurrence Handle1:STN:280:ByiC38bps10%3D Occurrence Handle8975845
A Cuschieri (1994) ArticleTitleThoracoscopic subtotal esophagectomy Endosc Surg Allied Technol 2 21–25 Occurrence Handle1:STN:280:ByuA28zktlY%3D Occurrence Handle8081911
S Law M Fok KM Chu J Wong (1997) ArticleTitleThoracoscopic esophagectomy for esophageal cancer Surgery 122 8–14 Occurrence Handle10.1016/S0039-6060(97)90257-9 Occurrence Handle1:STN:280:ByiA28bkt1Q%3D Occurrence Handle9225908
HP Liu CH Chang PJ Lin JP Chang (1995) ArticleTitleVideo-assisted endoscopic esophagectomy with stapled intrathoracic esophagogastric anastomosis World J Surg 19 745–747 Occurrence Handle10.1007/BF00295920 Occurrence Handle1:STN:280:BymD2MnjsVM%3D Occurrence Handle7571674
JS Wolf SuffixJr JJ Soble SY Nakada HJ Rayala PA Humphrey RV Clayman DP Poppas (1997) ArticleTitleComparison of fibrin glue, laser weld, and mechanical suturing device for the laparoscopic closure of ureterotomy in a porcine model J Urol 157 1487–1492 Occurrence Handle10.1097/00005392-199704000-00109 Occurrence Handle9120988
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Misawa, K., Hachisuka, T., Kuno, Y. et al. New procedure for purse-string suture in thoracoscopic esophagectomy with intrathoracic anastomosis. Surg Endosc 19, 40–42 (2005). https://doi.org/10.1007/s00464-004-9138-9
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DOI: https://doi.org/10.1007/s00464-004-9138-9