The incidence of anastomotic fistula in the neck after esophagectomy and esophagogastroplasty may be as high as 30%; the incidence of anastomotic stenosis may be as high as 10%. To avoid these potential and sometimes serious complications, the authors describe a partially mechanical esophago-visceral anastomosis. The esophageal stump is brought near the anterior wall of the transposed stomach. A small gastrotomy is performed. An endoscopic linear stapler is then inserted in the esophageal and gastric lumen, and fired. The anterior wall of the anastomosis is fashioned with a running suture.
[Cervical esophago-visceral anastomosis with an endoscopic linear stapler. Note on a surgical technique] / L. Bonavina, A. Peracchia. - In: MINERVA CHIRURGICA. - ISSN 0026-4733. - 54:10(1999 Oct), pp. 725-8-728.
[Cervical esophago-visceral anastomosis with an endoscopic linear stapler. Note on a surgical technique]
L. BonavinaPrimo
;A. PeracchiaUltimo
1999
Abstract
The incidence of anastomotic fistula in the neck after esophagectomy and esophagogastroplasty may be as high as 30%; the incidence of anastomotic stenosis may be as high as 10%. To avoid these potential and sometimes serious complications, the authors describe a partially mechanical esophago-visceral anastomosis. The esophageal stump is brought near the anterior wall of the transposed stomach. A small gastrotomy is performed. An endoscopic linear stapler is then inserted in the esophageal and gastric lumen, and fired. The anterior wall of the anastomosis is fashioned with a running suture.Pubblicazioni consigliate
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