title: Significance of coupling device for vessel anastomosis in esophageal reconstruction.
abstract: OBJECTIVE
  To prevent an anastomotic failure due to impaired blood supply, several trials have been performed such as preoperative ischemic conditioning by transarterial embolization of the left gastric, right gastric and splenic arteries or microvascular anastomosis. We assess the significance of an automatic anastomotic coupling device for vessel anastomosis, which we have continuously utilized, to simplify the task and shorten the anastomotic time since March 1999.
  
  
  METHODS
  8 patients who underwent venous anastomosis by an automatic anastomotic coupling device were evaluated for the time of anastomosis, total ischemic time and outcomes.
  
  
  RESULTS
  Venous anastomosis was completed within 5 minutes on average. Microscopic arterial anastomosis by hand took 35 minutes on average. For gastric tube reconstruction, venous anastomosis by an automatic coupling device took only 5 minutes. The top of the gastric tube showed congestion before venous anastomosis, but rapidly recovered from it after anastomosis. Postoperative endoscopic observation of the mucosal color of the replaced intestine or gastric tube was started 3 days after surgery and revealed no ischemia or congestion. The postoperative course was uneventful except one case suffering from pneumonia but leakage was not observed in any case.
  
  
  CONCLUSIONS
  An automatic anastomotic coupling device can perform an easy and reliable vascular anastomosis for patients who undergo esophageal reconstruction. The device may shorten the operating time and consequently the ischemic time of the gastric tube or jejunal or colonic graft, which in turn may lead to a decrease of complications.
authors.affiliation: Department of Surgery II, Ehime University School of Medicine, Ehime, Japan. yuji@m.ehime-u.ac.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Watanabe
authors.forename: A
authors.initials: A
authors.lastname: Horiuchi
authors.forename: Y
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: H
authors.initials: H
authors.lastname: Kikkawa
authors.forename: H
authors.initials: H
authors.lastname: Kusunose
authors.forename: H
authors.initials: H
authors.lastname: Sugishita
authors.forename: K
authors.initials: K
authors.lastname: Sato
authors.forename: M
authors.initials: M
authors.lastname: Yoshida
authors.forename: S
authors.initials: S
authors.lastname: Yukumi
authors.forename: K
authors.initials: K
authors.lastname: Kawachi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation*; D003106:Colon / Q000637:transplantation; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy; D004947:Esophagus / Q000098:blood supply* / Q000601:surgery*; D005260:Female; D006801:Humans; D007440:Intubation; D007583:Jejunum / Q000637:transplantation; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation*