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Minerva Chirurgica 1999 October;54(10):725-8

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Cervical esophageal anastomosis with an endoscopic linear stapler. Surgical technique

Bonavina L., Peracchia A.


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The incidence of anastomotic fistula in the neck after esophagectomy and esophagogastroplasty may be as high as 30%; the incidence of anastomotic stenosis may be as high as 10%. To avoid these potential and sometimes serious complications, the authors describe a partially mechanical esophago visceral anastomosis. The esophageal stump is brought near the anterior wall of the transposed stomach. A small gastrotomy is performed. An endoscopic linear stapler is then inserted in the esophageal and gastric lumen, and fired. The anterior wall of the anastomosis is fashioned with a running suture.

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