Two-step method for creating a gastric tube during laparoscopic-thoracoscopic Ivor-Lewis esophagectomy

Abstract

AIMTo introduce a two-step method for creating a gastric tube during laparoscopic-thoracoscopic Ivor-Lewis esophagectomy and assess its clinical application.METHODSOne hundred and twenty-two patients with middle or lower esophageal cancer who underwent laparoscopic-thoracoscopic Ivor-Lewis esophagectomy at Liaoning Cancer Hospital and Institute from March 2014 to March 2016 were included in this study, and divided into two groups based on the procedure used for creating a gastric tube. One group used a two-step method for creating a gastric tube, and the other group used the conventional method. The two groups were compared regarding the operating time, surgical complications, and number of stapler cartridges used.RESULTSThe mean operating time was significantly shorter in the two-step method group than in the conventional method group [238 (179-293) min vs 272 (189-347) min, P < 0.01]. No postoperative death occurred in either group. There was no significant difference in the rate of complications [14 (21.9%) vs 13 (22.4%), P = 0.55] or mean number of stapler cartridges used [5 (4-6) vs 5.2 (5-6), P = 0.007] between the two groups.CONCLUSIONThe two-step method for creating a gastric tube during laparoscopic-thoracoscopic Ivor-Lewis esophagectomy has the advantages of simple operation, minimal damage to the tubular stomach, and reduced use of stapler cartridges.

Development and validation of the Convalescence Symptom Assessment Scale for EsophageCtomy patients

“…Chest discomfort after eating is due to the particularity of oesophageal cancer surgery. During the operation, a tubular stomach needs to be made, and the stomach is lifted from the abdominal cavity to the chest cavity (Liu et al., 2017 ; Lv et al., 2017 ). Therefore, patients may experience chest tightness and shortness of breath after eating.…”

Clinical observation of modified gastric tube in middle and lower thoracic esophageal carcinoma surgery

“…However, the tubular stomach is often accompanied by a long cut edge and many wounds, and patients are prone to gastric bleeding at the resection margin and residual gastric fistula, which can cause mediastinal infection and even sepsis. In addition, the high operation cost, long operation time and complications have attracted clinicians’ attention, thus there is greater need to improve the operation method [11, 12].…”

Closure of the Azygos Vein With Polymer Clip in 13 Cases Undergoing Thoracoscopic-Laparoscopic Esophagectomy

“…Therefore we believe that it can be used safely. özefagogastrik anastomoz) ve minimal invaziv Ivor-Lewis özefajektomi (laparoskopik gastrik mobilizasyon, torakoskopik özefajektomi, intratorasik özefagogastrik anastomoz)'dir (1). Konvansiyonel ve minimal invaziv özefajektomide transeke edilen en önemli büyük çaplı damar azigos venidir.…”