Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei.

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Presentation transcript:

Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei Dai, MD, Xiao-Jun Yang, MD, Tian-Peng Xie, MD, Guang-Yuan Liu, MD The Annals of Thoracic Surgery Volume 100, Issue 6, Pages 2372-2375 (December 2015) DOI: 10.1016/j.athoracsur.2015.04.140 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The needle with a wire passed through the tip of the puncture head. A knot is tied to fix the position. The Annals of Thoracic Surgery 2015 100, 2372-2375DOI: (10.1016/j.athoracsur.2015.04.140) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The anvil is positioned under a thoracoscope. (B) The needle with a wire sewn into the inner esophagus. (C) The puncture head along with the center rod of the anvil is removed. The Annals of Thoracic Surgery 2015 100, 2372-2375DOI: (10.1016/j.athoracsur.2015.04.140) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) The esophageal stump is closed with a stapler. (B) After closure of the esophageal stump. The Annals of Thoracic Surgery 2015 100, 2372-2375DOI: (10.1016/j.athoracsur.2015.04.140) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (A) An esophagogastrostomy is conducted with use of a stapler. (B) The stomach stump is closed after the anastomosis. (C) Checking the anastomosis. The Annals of Thoracic Surgery 2015 100, 2372-2375DOI: (10.1016/j.athoracsur.2015.04.140) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions