[Cervical esophago-visceral anastomosis with an endoscopic linear stapler. Note on a surgical technique].
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.
Bonavina
L
L
Istituto di Chirurgia Generale e Oncologia Chirurgica, Ospedale Maggiore Policlinico IRCCS, Università degli Studi, Milano.
Peracchia
A
A
D000714:Anastomosis, Surgical; D016629:Esophagectomy; D004947:Esophagus / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D013270:Stomach / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques
Anastomosi esofago-viscerale cervicale con suturatrice lineare endoscopica. Nota di tecnica chirurgica.