Terminalized Semimechanical Side-to-Side Suture Technique for Cervical Esophagogastrostomy

Collard, Jean-Marie; Romagnoli, Renato; Goncette, Louis; Otte, Jean-Bernard; Pj, Kestens

doi:10.1016/s0003-4975(97)01384-2

Cited by 160 publications

(130 citation statements)

References 9 publications

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“…The oesophagus was transected at the level of the skin and a disc of gastric wall removed in preparation for anastomosis based on the technique of Collard and colleagues 16 with a posterior stapled layer (45 mm, blue, 3·5-mm thickness, ENDO GIA TM ; Autosuture) and an anterior wall closure with interrupted inverting 2/0 polyglactin 910 sutures. Any redundancy in the gastric tube beyond the anastomosis was trimmed with a linear stapler, and the anastomosis placed into the position of the resected oesophagus.…”

Section: Cervical Anastomosismentioning

confidence: 99%

Short-term outcomes following total minimally invasive oesophagectomy

Berrisford

Wajed

Sanders

et al. 2008

British Journal of Surgery

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Background: Minimally invasive oesophagectomy (MIO; thoracoscopy, laparoscopy, cervical anastomosis) is a complex procedure and few substantial series have been published. This study documented the morbidity, mortality and challenges of adopting MIO in a specialist unit in the UK. Conclusion: MIO can be performed with acceptable mortality and morbidity rates in an unselected series of patients. There was more morbidity related to gastric tube ischaemia than was expected.

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Section: Cervical Anastomosismentioning

confidence: 99%

Short-term outcomes following total minimally invasive oesophagectomy

Berrisford

Wajed

Sanders

et al. 2008

British Journal of Surgery

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“…Another, more technical, argument used in favor of the whole stomach is the absence of a suture line in the vicinity of the anastomosis related to gastric tubulization. It is suggested that the narrow band of gastric tissue between this suture line and the margin of the anastomosis in its close vicinity may be poorly vascularized and cause necrosis and subsequent leak [14]. …”

Section: Whole Stomach or Gastric Tube?mentioning

confidence: 99%

“…But when performing a semi-mechanical anastomosis in 16 cases with whole stomach, he observed one, minute, leak (6.2%) [14]. Orringer et al [16], using a whole stomach, obtained a 2.7% leakage rate when using stapled anastomosis versus 10–15% when using hand-sewn anastomosis.…”

Section: Whole Stomach or Gastric Tube?mentioning

confidence: 99%

Anastomotic Complications after Esophagectomy

Lerut¹,

Coosemans²,

Decker³

et al. 2002

Dig Surg

168

100

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Anastomotic complications after esophagectomy continue to be a burden jeopardizing the quality of life and of swallowing. However, incidence, mortality and morbidity of anastomotic complications have substantially decreased in recent years. It seems that this is not so much related to the use of a particular conduit, approach or route for reconstruction, but rather related to refinement in anastomotic techniques and perhaps even more to progress in modern perioperative management. Knowledge of surgical anatomy and meticulous technique are of paramount importance and obviously related to individual expertise. As to the management, most leaks can be treated by conservative measures and reintervention surgery today is rather exceptional. Early endoscopy and dilatation seem to decrease the incidence and severity of anastomotic stenosis.

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“…The esophagogastric anastomosis had been performed in the neck (n ϭ 78) or at the apex of the chest (n ϭ 13) using an end-to-end manual technique (n ϭ 45), circular stapling (n ϭ 13), or a terminalized side-to-side semimechanical technique (n ϭ 33). 10 In three patients, an early postoperative anastomotic stricture developed that was treated by endoscopic dilations. At the time of the study, however, all patients could take the same food as their spouses, and only one patient was incapacitated by postprandial vomiting.…”

Section: Study Populationmentioning

confidence: 99%

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

Gutschow¹,

Collard²,

Romagnoli³

et al. 2001

Annals of Surgery

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ObjectiveTo determine whether the denervated stomach as an esophageal substitute recovers normal intraluminal acidity with time. Summary Background DataBilateral truncal vagotomy to the stomach as an esophageal substitute reduces both gastric acid production and antral motility, but a spontaneous motor recovery process takes place over years. MethodsIntraluminal gastric pH and bile were monitored during a 24-hour period 1 to 195 months after transthoracic elevation of the stomach as esophageal replacement in 91 and 76 patients, respectively. Nine patients underwent a second gastric pH monitoring after a 3-year period. The percentages of time that the gastric pH was less than 2 and bile absorbance exceeded 0.25 were calculated in reference to values from 25 healthy volunteers. Eighty-nine upper gastrointestinal endoscopies were performed in 83 patients. Patients were divided into three groups depending on length of follow-up: group 1, less than 1 year; group 2, 1 to 3 years; group 3, more than 3 years.

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Terminalized Semimechanical Side-to-Side Suture Technique for Cervical Esophagogastrostomy

Cited by 160 publications

References 9 publications

Short-term outcomes following total minimally invasive oesophagectomy

Short-term outcomes following total minimally invasive oesophagectomy

Anastomotic Complications after Esophagectomy

Denervated Stomach as an Esophageal Substitute Recovers Intraluminal Acidity With Time

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