A Prospective Study of Totally Minimally Invasive Ivor Lewis Esophagectomy With Regular Circular Stapler in Patients With Thoracic Esophageal Cancer

CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 51A
Author(s):  
Hecheng Li ◽  
Longfei Ma ◽  
Yiliang Zhang ◽  
Yawei Zhang ◽  
Jiaqing Xiang ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Prospective Study ◽  
Circular Stapler ◽  
Thoracic Esophageal Cancer ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
A Prospective Study

Using the Hand-Sewn Purse-String Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy

2018 ◽  
Vol 67 (07) ◽  
pp. 578-584 ◽  
Author(s):  
Bicheng Zhan ◽  
Jian Chen ◽  
Shaoming Du ◽  
Yanzheng Xiong ◽  
Jian Liu
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Anastomotic Stricture ◽  
Circular Stapler ◽  
Fixation Time ◽  
Purse String ◽  
Ivor Lewis ◽  
Anastomotic Technique ◽  
Open Esophagectomy ◽  
Ivor Lewis Esophagectomy

Background Minimally invasive Ivor Lewis esophagectomy (MIILE) is increasingly being used in the treatment of middle or lower esophageal cancer. Hand-sewn purse-string stapled anastomosis is a classic approach in open esophagectomy. However, this procedure is technically difficult under thoracoscopy. The hardest part is delivering the anvil into the esophageal stump. Herein, we report an approach to performing this step under thoracoscopy. Methods A total of 257 consecutive patients who underwent MIILE between April 2013 and July 2017 were analyzed retrospectively. The operator hand sewed the purse string using silk thread under thoracoscopy, and the 25-mm circular stapler was passed through the anterior axillary line at the fourth intercostal space to finish the side-to-end gastroesophageal anastomosis. Patient demographics, intraoperative data, postoperative complications were evaluated. Results The mean operative time, thoracoscopy time, and anvil fixation time was 307.0 ± 34.3, 155.4 ± 21.5, and 7.1 ± 1.6 minute, respectively. The anastomotic leak and anastomotic stricture occurred in 6.6% (17 of 257) and 3.9% (10 of 257) of patients, respectively. There was no intraoperative death; one case was death of acute respiratory distress syndrome (ARDS) for conduit gastric leakage on the 21st postoperative day. Conclusion Using the hand-sewn purse-string stapled anastomotic technique for MIILE is feasible and relatively safe in patients with middle or lower esophageal cancer.

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer

2018 ◽  
Vol 36 (3) ◽  
pp. 218-225 ◽  
Author(s):  
Wen-Ping Wang ◽  
Long-Qi Chen ◽  
Han-Lu Zhang ◽  
Yu-Shang Yang ◽  
Song-Lin He ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Circular Stapler ◽  
Purse String Suture ◽  
Robot Assisted ◽  
Purse String ◽  
Ivor Lewis ◽  
Intrathoracic Anastomosis ◽  
Ivor Lewis Esophagectomy ◽  
Estimated Blood Loss ◽  
Esophagectomy For Cancer

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Methods: “Side-insertion” technique was used for anvil placement and purse string suture for intrathoracic anastomosis at RAILE. Medical records for consecutive patients who had undergone robot-assisted minimally invasive Ivor-Lewis esophagectomy for cancer between January 2015 and June 2018 were analyzed. Results: A total of consecutive 31 patients were enrolled. There was no conversion to open thoracotomy in this cohort. Mean operation duration in the robotic group was 387.4 ± 68.2 min. Median estimated blood loss was 110 mL (range 50–400 mL). Two patients (6.5%) had postoperative anastomotic leak. No postoperative reoperation was needed and there were no mortality. Six patients (19.4%) had anastomotic stricture and 2 patients of them needed endoscopic dilation. Conclusion: RAILE is safe and feasible. Our modified procedure highlighting the “side-insertion” method may simplify the process of intrathoracic anvil placement and purse string suture for anastomosis at RAILE.

Minimally invasive Ivor-Lewis esophagectomy for esophageal cancer with right aortic arch

ASVIDE ◽  
2017 ◽  
Vol 4 ◽  
pp. 46-46
Author(s):  
Jeremy Linson ◽  
Michael Latzko ◽  
Bestoun Ahmed ◽  
Ziad Awad
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Aortic Arch ◽  
Right Aortic Arch ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy

Short-Term Outcomes of Minimally Invasive Ivor-Lewis Esophagectomy for Esophageal Cancer

2014 ◽  
Vol 97 (5) ◽  
pp. 1721-1727 ◽  
Author(s):  
Ming-ran Xie ◽  
Chang-qing Liu ◽  
Ming-fa Guo ◽  
Xin-yu Mei ◽  
Xiao-hui Sun ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Minimally Invasive ◽  
Short Term ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy
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