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Laparoscopic and thoracoscopic esophagectomy with intrathoracic anastomosis for middle or lower esophageal carcinoma.
[esophageal carcinoma]
Thoracoscopic
mobilization
of
esophagus
and
laparoscopic
mobilization
of
stomach
with
cervical
anastomosis
is
employed
widely
in
minimally
invasive
esophagectomy
(
MIE
)
for
esophageal
carcinoma
.
However
,
it
is
associated
with
high
incidence
of
complications
,
including
recurrent
laryngeal
nerve
injury
and
anastomotic
leak
.
This
paper
summarizes
the
key
techniques
in
total
laparoscopic
and
thoracoscopic
esophagectomy
with
intrathoracic
anastomosis
for
MIE
in
62
patients
of
middle
or
lower
esophageal
cancer
between
March
2012
and
August
2013
.
Total
laparoscopic
and
thoracoscopic
esophagectomy
with
intrathoracic
anastomosis
was
performed
to
treat
the
middle
or
lower
esophageal
cancer
.
Laparoscopic
and
thoracoscopic
Ivor
-
Lewis
esophagectomy
was
performed
using
a
circular
stapler
(
Johnson
and
Johnson
)
intrathoracically
to
staple
esophagogastric
anastomosis
and
reconstruct
the
digestive
tract
.
In
addition
,
we
performed
tension-relieving
anastomotic
suture
and
embedded
with
pedicled
omental
flap
.
Compared
with
the
trans-orally
inserted
anvil
(
OrVil
)
approach
,
the
technique
reported
here
is
safe
,
feasible
and
user-friendly
.
Total
thoracoscopic
intrathoracic
anastomosis
can
be
performed
with
a
circular
stapler
(
Johnson
and
Johnson
)
.
Diseases
Validation
Diseases presenting
"high incidence of complications"
symptom
esophageal carcinoma
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