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Ann Thorac Surg 2008;86:989-992. doi:10.1016/j.athoracsur.2008.03.034
© 2008 The Society of Thoracic Surgeons
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New Technology

Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil

Ninh T. Nguyen, MD, FACS*, Marcelo W. Hinojosa, MD, Brian R. Smith, MD, James Gray, BS, Kevin M. Reavis, MD

Department of Surgery, University of California Irvine Medical Center, Orange, California

Accepted for publication March 18, 2008.

* Address correspondence to Dr Nguyen, Department of Surgery, 333 City Blvd West, Suite 850, Orange, CA 92868 (Email: ninhn{at}uci.edu).

Purpose: The purpose of this study is to describe a novel technique for thoracoscopic construction of an intrathoracic esophagogastrostomy using a circular stapler.

Description: Conventional method for construction of the esophagogastric anastomosis requires placement of the anvil through an esophageal stump and securing it with a pursestring suture. Advances in stapler technology now permit the anvil to be placed transorally and positioned at the esophageal stump without the need for a pursestring suture.

Evaluation: Ten patients underwent laparoscopic and thoracoscopic esophagectomy with construction of an intrathoracic esophagogastric anastomosis using a circular stapler technique. The anvil was placed transorally in all patients without difficulty. There were no operative complications or postoperative leaks.

Conclusions: The transoral placement of the anvil during thoracoscopic construction of an esophagogastrostomy is technically feasible and may facilitate the performance of the esophagogastric anastomosis using a circular stapler.


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Invited Commentary
Richard F. Heitmiller
Ann. Thorac. Surg. 2008 86: 992-993. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


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D. E. Jaroszewski, D. G. Williams, D. E. Fleischer, H. J. Ross, Y. Romero, and K. L. Harold
An Early Experience Using the Technique of Transoral OrVil EEA Stapler for Minimally Invasive Transthoracic Esophagectomy
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Home page
 Ann. Thorac. Surg.Home page
R. F. Heitmiller
Invited Commentary
Ann. Thorac. Surg., September 1, 2008; 86(3): 992 - 993.
[Full Text] [PDF]


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