Gastric pull-up by eversion stripping of oesophagus

Abstract

Gastric pull-up is a reliable method of one-stage reconstruction following total laryngopharyngoesophagectomy (TLPE). However, the technique of blunt finger dissection for extrapleural extraction of the oesophagus is liable to produce chest complications like pneumothorax. We report a series of 45 patients who underwent gastric pull-up using the technique of oesophageal extraction by stripping which produced virtually no thoracic complications. This simple technique has greatly reduced morbidity associated with gastric pull-up.

A Comparative Study between the Postoperative Complications of Stripping Esophagectomy and Classic (Orringer's Technique) Esophagectomy

“…Rajan et al 20 described the use of vein stripper to extract esophagus, eversion stripping, the esophagus, at the same time excising the tumor from the larynx, pharynx, and esophagus, with a significant reduction in morbidity compared with the Akiyama et al study. 21 …”

Eversion stripping of the esophagus with intraesophageal insufflation—A case report

“…Blunt esophageal dissection without thoracotomy was first reported by Turner in 1936 for carcinoma of the thoracic esophagus, but indications for this operation are decreasing due to the widespread of endoscopic mucosal resection and the advancement of thoracoscopic surgery [4], [5], [6]. This operation is indicated as a radical surgery option for patients with superficial, mucosal cancer, or multiple early cancers of the esophagus that are difficult endoscopic or thoracoscopic resection cases.…”

Management of Multifocal Squamous Dysplasia: Role of Esophagectomy

“…A small comparative study involving 70 patients with stripping and transhiatal esophagectomy (Orringer's Technique) showed that stripping had a shorter operative time and lower blood loss, favoring the stripping technique. [11][12][13] At our center, we advocate minimally invasive or robotic McKeown esophagectomy as a treatment option for multifocal esophageal dysplasia that is not suitable for endoscopic resection. Total minimally invasive or hybrid esophagectomy has consistently demonstrated a lower rate of pulmonary complications compared to open esophagectomy.…”

“…A small comparative study involving 70 patients with stripping and transhiatal esophagectomy (Orringer’s Technique) showed that stripping had a shorter operative time and lower blood loss, favoring the stripping technique. 11-13…”