2018
DOI: 10.1055/s-0038-1660848 View full text |Buy / Rent full text
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Abstract: Using the hand-sewn purse-string stapled anastomotic technique for MIILE is feasible and relatively safe in patients with middle or lower esophageal cancer.

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“…21 The feasibility and safety of the robot-assisted lymphadenectomy were demonstrated in a previous study. 22 One of main postoperative complications of EC resection is anastomotic leakage, whose incidence using various anastomosis approaches in the minimally invasive Ivor-Lewis oesophagectomy ranges from 0% to 10%, without statistically significant differences 17,18,23 Here, the anastomotic leakage rate was 3.1% in the RPA group, which is consistent with past studies. According to the doctor's personal experience and intraoperative situation.…”
Section: Discussionsupporting
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“…21 The feasibility and safety of the robot-assisted lymphadenectomy were demonstrated in a previous study. 22 One of main postoperative complications of EC resection is anastomotic leakage, whose incidence using various anastomosis approaches in the minimally invasive Ivor-Lewis oesophagectomy ranges from 0% to 10%, without statistically significant differences 17,18,23 Here, the anastomotic leakage rate was 3.1% in the RPA group, which is consistent with past studies. According to the doctor's personal experience and intraoperative situation.…”
Section: Discussionsupporting
“…17 The OrVil technique is too expensive to be popular, whilst transoral insertion of the anvil raises the chance of thoracic infection and throat injury. 18 In our group, we usually use MPA for oesophagogastric anastomosis during intrathoracic anastomosis because it does not require specialised devices. However, the technique is tedious and difficult to master.…”
Section: Discussionmentioning
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“…Anastomosis-related complications especially anasomotic leakage is one of the most lethal comorbidies, usually resulting in pyothorax, mediastinitis, tracheal fistula, arterial fistula or septicemia, and ending up with multiple organ failure eventually. In order to achieve satisfactory esophagogastric anastomosis, much effort had been tried either to optimize the anasomotic procedure (18,19,(30)(31)(32)(33)(34)(35)(36)(37), to better off the blood flow at the anastomotic site on the grafted conduits (11,38,39), or to manage prophylactic measurements to ensure the confinement of inflammation and facilitate the healing in case of leakage (20,21). In the present study we evaluated the utility of MOMA and compared it with CDHA in cervical esophagogastric anastomosis after sub-total esophagectomy in TE-SCC patients.…”
Section: Discussionmentioning
“…The most commonly applied technique is a circular stapler anastomosis which involves placement of an anvil and circular stapler inside a gastric conduit (4). Although there are several practical versions, the placement of a pursestring suture on the esophagus is technically demanding and sometimes muscular approximation is not perfect (4,9). Semi-stapled anastomosis involves a posterior stapler line, and separate sutures on the anterior part (10).…”
Section: Discussionmentioning