Presentation is loading. Please wait.

Presentation is loading. Please wait.

Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil  Ninh T. Nguyen,

Published byBlanche Wood Modified over 4 years ago

Similar presentations

Presentation on theme: "Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil  Ninh T. Nguyen,"— Presentation transcript:

1 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  The Annals of Thoracic Surgery  Volume 86, Issue 3, Pages (September 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Thoracoscopic construction of an intrathoracic esophagogastric anastomosis using a circular stapler, with the 25-mm anvil placed transthoracically through the esophageal stump and secured with a pursestring suture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Thoracoscopic view showing the transected esophageal stump using a 60-mm linear stapler at the level of the azygous vein. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The Orvil (Autosuture, Norwalk, CT) is being placed transorally in preparation for construction of an intrathoracic esophagogastric anastomosis using a circular stapler. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 An esophagotomy is performed perpendicular to the esophageal stump staple line in preparation for retrieval of the oral-gastric tube with the attached anvil. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 The oral-gastric tube is advanced through the esophagotomy of the esophageal stump and removed through one of the thoracoscopic ports. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 The anvil is pulled transorally and positioned within the esophageal stump. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 The complete positioning of the transoral anvil after removal of the oral-gastric tube. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Download ppt "Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil  Ninh T. Nguyen,"

Similar presentations

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer

Robot-Assisted Thoracoscopic Lobectomy for Early-Stage Lung Cancer
Megan L. Durr, BS, Stephen C. Yang, MD  The Annals of Thoracic Surgery 

Megan L. Durr, BS, Stephen C. Yang, MD  The Annals of Thoracic Surgery 
Giant Transdiaphragmatic Intercostal Hernia

Giant Transdiaphragmatic Intercostal Hernia
Ninh T. Nguyen, MD, Cam-Ly Tran, MD, Dmitri V

Ninh T. Nguyen, MD, Cam-Ly Tran, MD, Dmitri V
R. Douglas Adams, MD, William D. Bolton, MD, James E

R. Douglas Adams, MD, William D. Bolton, MD, James E
Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer  Shenhai Wei, MD, PhD,

Association of Perioperative Fluid Balance and Adverse Surgical Outcomes in Esophageal Cancer and Esophagogastric Junction Cancer  Shenhai Wei, MD, PhD,
Preoperative Laparoscopic Ligation of the Left Gastric Vessels in Preparation for Esophagectomy  Ninh T. Nguyen, MD, Mario Longoria, MD, Allen Sabio,

Preoperative Laparoscopic Ligation of the Left Gastric Vessels in Preparation for Esophagectomy  Ninh T. Nguyen, MD, Mario Longoria, MD, Allen Sabio,
Kanika Trehan, MD, Xun Zhou, MD, Stephen C. Yang, MD 

Kanika Trehan, MD, Xun Zhou, MD, Stephen C. Yang, MD 
Investigating the Causes of Adverse Events

Investigating the Causes of Adverse Events
Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy  Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei.

Reverse-Puncture Anastomotic Technique for Minimally Invasive Ivor-Lewis Esophagectomy  Ping Xiao, MD, Xiang Zhuang, MD, Yi Shen, MD, Qiang Li, MD, Wei.
Esophageal Stent Placement for the Treatment of Acute Intrathoracic Anastomotic Leak After Esophagectomy  Richard K. Freeman, MD, Amy Vyverberg, RN, Anthony.

Esophageal Stent Placement for the Treatment of Acute Intrathoracic Anastomotic Leak After Esophagectomy  Richard K. Freeman, MD, Amy Vyverberg, RN, Anthony.
Spiral Tracheoplasty After Tangential Resection of Trachea

Spiral Tracheoplasty After Tangential Resection of Trachea
Thoracoscopic resection of an ectopic intrathoracic goiter

Thoracoscopic resection of an ectopic intrathoracic goiter
Thoracoscopic management of postoperative esophageal leak

Thoracoscopic management of postoperative esophageal leak
Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy  Sang Kuon Lee, MD, Jongho Lee, MD  The Annals.

Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy  Sang Kuon Lee, MD, Jongho Lee, MD  The Annals.
The Use of Self-Expanding Silicone Stents in Esophagectomy Strictures: Less Cost and More Efficiency  Robert C.G. Martin, MD, Charles Woodall, MD, Ryan.

The Use of Self-Expanding Silicone Stents in Esophagectomy Strictures: Less Cost and More Efficiency  Robert C.G. Martin, MD, Charles Woodall, MD, Ryan.
How I Teach a Thoracoscopic Lobectomy

How I Teach a Thoracoscopic Lobectomy
Jae-Ik Lee, MD, PhD, Sunghoon Choi, MS, Jaeyong Sung, PhD 

Jae-Ik Lee, MD, PhD, Sunghoon Choi, MS, Jaeyong Sung, PhD 
Chest Tube Entrapment: A Simple Solution for Technical Error

Chest Tube Entrapment: A Simple Solution for Technical Error
Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method  Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Improved Closure Technique for Uniportal Video-Assisted Thoracic Surgery: Double- Embedding Stitching Method  Lijian Huang, MD, Lufeng Zhao, MD, Wenshan.

Similar presentations

Ads by Google