title: Pursestring stapled anastomotic technique for minimally invasive Ivor Lewis esophagectomy.
abstract: We describe a pursestring stapled anastomotic technique for minimally invasive Ivor Lewis esophagectomy, in which a pursestring is hand sewn through the muscular layer of the intact esophagus by using one piece of 3-0 Prolene suture. The anvil of a circular stapler is inserted through an esophageal incision, 2 to 3 cm distal to the pursestring, and secured by the pursestring. The esophagus is transected, and the mucosa of the proximal stump is retained 5 mm longer than the adjacent muscular layer. The gastroesophageal anastomosis is completed and embedded by using the previously reserved 2 cm of mediastinal pleura.
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei City, China. zhangrenquan@live.cn
authors.forename: Ren-Quan
authors.initials: RQ
authors.lastname: Zhang
authors.forename: Wan-Li
authors.initials: WL
authors.lastname: Xia
authors.forename: Ning-Ning
authors.initials: NN
authors.lastname: Kang
authors.forename: Wei
authors.initials: W
authors.lastname: Ge
authors.forename: An-Guo
authors.initials: AG
authors.lastname: Chen
authors.forename: Ke-Chao
authors.initials: KC
authors.lastname: Zhu
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D013906:Thoracoscopy