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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 on theme: "Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy  Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei."— Presentation transcript:

1 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 (December 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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

5 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  , DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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