Experiences with a Simple Laparoscopic Gastric Tube Construction

Overview

Journal J Cardiothorac Surg

Publisher Biomed Central

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2013 Jan 18

PMID 23324466

Citations 1

Authors

Bing-Yen Wang

Lien Cheng Tsao

Ching-Yuan Cheng

Ching-Hsiung Lin

Chih-Shiun Shih

Chia-Chuan Liu

Affiliations

Soon will be listed here.

Abstract

Background: Minimally invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer.

Methods: We performed a retrospective review of 26 consecutive patients who underwent MIE for esophageal cancer in the Koo Foundation Sun Yat-Sen Cancer Center between September 2009 and August 2011. Perioperative data and postoperative complications were statistically analyzed.

Results: The patient group consisted of 22 men and 4 women. MIE was performed successfully in all patients. The mean operative time was 430.4 ± 60.6 minutes, and the mean estimated operative blood loss was 135.0 ± 97.8 mL. There were no cases of conversion to open surgery during the procedure. The postoperative complication rate was 53.8%, and there was no surgical mortality.

Conclusions: We recommend this novel method of total laparoscopic staplized formation of gastric tube to facilitate gastric pull-up.

Citing Articles

Technical and early outcomes of Ivor Lewis minimally invasive oesophagectomy for gastric tube construction in the thoracic cavity.

Wu W, Zhu Q, Chen L, Liu J Interact Cardiovasc Thorac Surg. 2013; 18(1):86-91.

PMID: 24144805 PMC: 3867051. DOI: 10.1093/icvts/ivt448.

References

Badner N, Bhandari R, Komar W . Bupivacaine 0.125% improves continuous postoperative epidural fentanyl analgesia after abdominal or thoracic surgery. Can J Anaesth. 1994; 41(5 Pt 1):387-92. DOI: 10.1007/BF03009860. View

Wang B, Shih C, Liu C, Hsieh C . A simple laparoscopic gastric tube construction. Eur J Cardiothorac Surg. 2010; 39(5):786-7. DOI: 10.1016/j.ejcts.2010.08.037. View

Luketich J, Alvelo-Rivera M, Buenaventura P, Christie N, McCaughan J, Litle V . Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg. 2003; 238(4):486-94. PMC: 1360107. DOI: 10.1097/01.sla.0000089858.40725.68. View

Ikeda Y, Niimi M, Kan S, Takami H, Kodaira S . Thoracoscopic esophagectomy combined with mediastinoscopy via the neck. Ann Thorac Surg. 2002; 73(4):1329-31. DOI: 10.1016/s0003-4975(01)03593-7. View

DePaula A, Hashiba K, Ferreira E, de Paula R, Grecco E . Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endosc. 1995; 5(1):1-5. View