title: Use of efficient purse-string stapling technique for esophagogastric anastomosis in minimally invasive Ivor Lewis esophagectomy.
abstract: Minimally invasive esophagectomy (MIE) is increasingly accepted in the treatment of locoregional or advanced esophageal cancer. Laparoscopic-thoracoscopic Ivor-Lewis esophagectomy has been proved to be effective in treating middle and distal esophageal cancer, however, intrathoracic esophagogastric anastomosis is technically complex. When using circular stapler for making intrathoracic anastomosis in MIE, both transoral and transthoracic methods are frequently used for delivering the anvil into the esophageal stump. Herein, we report a new method to construct a thoracoscopic esophagogastric anastomosis by using a circular stapler: efficient purse-string stapling technique (EST). This technique is easy to handle and especially good to be used in patients with distal esophageal cancer or expanded esophageal cavity.
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Shen
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Sai-Bo
authors.initials: SB
authors.lastname: Pan
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Wu
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Sai
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Xiao-Fang
authors.initials: XF
authors.lastname: Xu
authors.affiliation: Department of Thoracic Surgery, Second Affiliated Hospital of Zhejiang University, Hangzhou 310009, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Chen
keywords: Ivor Lewis esophagectomy; Minimally invasive esophagectomy (MIE); efficient purse-string stapling technique (EST); esophageal cancer; esophagogastric anastomosis