title: Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy.
abstract: We used a reverse-puncture anastomotic technique in a total minimally invasive Ivor-Lewis esophagectomy. In the operation, a needle with a wire passed through the puncture head of the anvil of a circular stapler was used to make a fixed knot. In the proximal esophagus, the tissue was hemitransected, and the anvil was then inserted into the esophagus. The needle was then pulled from the inner to the anterior wall of the esophagus. After the wire was tightened, the center rod of the anvil was removed. After closure of the esophageal stump, the intrathoracic esophagogastrostomy was completed.
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Xiao
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China. Electronic address: zhuangx15@163.com.
authors.forename: Xiang
authors.initials: X
authors.lastname: Zhuang
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Shen
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Qiang
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Dai
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Xiao-Jun
authors.initials: XJ
authors.lastname: Yang
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Tian-Peng
authors.initials: TP
authors.lastname: Xie
authors.affiliation: Department of Thoracic Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Guang-Yuan
authors.initials: GY
authors.lastname: Liu
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D016629:Esophagectomy / Q000379:methods*; D006801:Humans