Transoral application of EEA stapler after subtotal oesophagectomy

• Published in: The European journal of surgery 2000-01, Vol.166 (1), p.50-53
• Main Authors: Skultety, J., Matis, P., Ziak, M., Labas, P., Durdik, S., Cheah, W. K., Rajnakova, A., Goh, P.
• Format: Article
• Language: English
• Subjects: Anastomosis, Surgical - methods; Biological and medical sciences; Carcinoma, Squamous Cell - surgery; Esophageal Neoplasms - surgery; Esophagectomy; Esophagogastric Junction - surgery; Esophagus; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Male; Medical sciences; Middle Aged; Prospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Surgical Staplers; Treatment Outcome; Tumors
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/110241500750009708

Objective: To describe a new transoral technique of cervical oesophagogastric and oesophagojejunal anastomoses using the EEA stapler. Design: Prospective clinical study. Setting: University Hospital, Bratislava, Slovakia. Subjects: Two patients with squamous cell carcinoma of the middle and distal third of the oesophagus. Interventions: Transhiatal subtotal oesophagectomy without thoracotomy, and cervical oesophageal anastomosis by transoral EEA stapling. Main outcome measures: Morbidity and mortality. Results: Transoral stapling was successful in both patients with no anastomotic leaks. The patients were discharged on the 14th and 21st postoperative days, respectively. Conclusions: Transoral stapling of the cervical anastomosis gave good results in two patients. More development and evaluation are needed. Copyright © 2000 Taylor and Francis Ltd.