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https://www.readbyqxmd.com/read/27766713/modified-anastomotic-technique-for-thoracolaparoscopic-ivor-lewis-esophagectomy-early-outcomes-and-technical-details
#1
Hanlu Zhang, Longqi Chen, Yingcai Geng, Yu Zheng, Yun Wang
Thoracoscopic intrathoracic esophagogastrostomy is a technically demanding operation; these technical requirements restrict the extensive application of minimally invasive Ivor Lewis esophagectomy. In an attempt to reduce the difficulty of this surgical procedure, we developed a modified anastomotic technique for thoracolaparoscopic Ivor Lewis esophagectomy. During the entirety of this modified approach, neither technically challenging operations such as intrathoracic suturing, or knotting, nor special instruments such as an OrVil system or a reverse-puncture head are required...
October 21, 2016: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/27438173/comparison-of-short-term-and-long-term-clinical-outcomes-between-laparoscopic-and-open-total-gastrectomy-for-patients-with-gastric-cancer
#2
Atsuo Shida, Norio Mitsumori, Shuichi Fujioka, Yuta Takano, Taizou Iwasaki, Naoto Takahashi, Yoshio Ishibashi, Nobuo Omura, Katsuhiko Yanaga
BACKGROUND AND PURPOSE: Validation of laparoscopic total gastrectomy (LTG) for patients with gastric cancer has not been fully investigated. In particular, the technique for esophagojejunostomy remains controversial. We performed 103 cases of LTG for patients with gastric cancer between 2007 and 2013, in which all esophagojejunostomy reconstruction was performed with intracorporeal circular stapling esophagojejunostomy using the OrVil system except for the first 3 cases. The purpose of this study is to retrospectively analyze the clinical usefulness of LTG with intracorporeal circular stapling esophagojejunostomy using the OrVil system and oncological feasibility of LTG as compared with open total gastrectomy (OTG)...
August 2016: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/27322680/usage-of-reversal-penetrating-technique-with-ancillary-trocar-in-minimally-invasive-ivor-lewis-esophagectomy
#3
Saibo Pan, Gang Shen, Ming Wu
OBJECTIVE: We present a "Reversal Penetrating Technique" (RPT) to perform thoracoscopic esophagogastric anastomosis in Ivor Lewis minimally invasive esophagectomy (MIE). The safety and efficiency of this technique are evaluated. PATIENTS AND METHODS: RPT was used in Ivor Lewis MIE for treating patients with distal esophageal cancer. A specific anvil set is inserted into proximal esophagus lumen to allow its prefixed Prolene suture to pierce from the inside out. Then, the suture is pulled until the anvil rod penetrates the esophageal wall...
June 20, 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/26878019/laparoscopic-completion-total-gastrectomy-for-remnant-gastric-cancer-following-pancreaticoduodenectomy-for-bile-duct-cancer-a-case-report
#4
Dong Jin Kim, Wook Kim
Laparoscopic completion total gastrectomy following pancreaticoduodenectomy (PD) has not been reported. A 73-year-old male who underwent PD 25 years ago for distal common bile duct cancer visited a surgical department for remnant gastric cancer. A previous reconstruction was performed with pancreaticojejunostomy (PJ), gastrojejunostomy and Braun anastomosis, i.e., jejunojejunostomy (JJ), between the afferent and efferent jejunal limb to prevent bile reflux into the remnant stomach. Adhesiolysis was initially performed to secure the surgical view...
February 2016: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/26831060/assessment-of-the-double-staple-technique-for-esophagoenteric-anastomosis-in-gastric-cancer
#5
Audrey H Choi, Amanda Arrington, Ann Falor, Rebecca A Nelson, Michael Lew, Joseph Chao, Byrne Lee, Joseph Kim
INTRODUCTION: Reports on outcomes after double-staple technique (DST) for total and proximal gastrectomy are limited, originating mostly from Asian centers. Our objective was to examine anastomotic leak and stricture with DST for esophagoenteric anastomosis in gastric cancer patients. METHODS: A single institution review was performed for patients who underwent total/proximal gastrectomy with DST between 2006 and 2015. DST was performed using transoral anvil delivery (OrVil) with end-to-end anastomosis...
April 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/26511124/potential-benefits-of-laparoscopy-assisted-proximal-gastrectomy-with-esophagogastrostomy-for-ct1-upper-third-gastric-cancer
#6
Kei Hosoda, Keishi Yamashita, Natsuya Katada, Hiromitsu Moriya, Hiroaki Mieno, Tomotaka Shibata, Shinichi Sakuramoto, Shiro Kikuchi, Masahiko Watanabe
BACKGROUND: Few reports have compared laparoscopy-assisted proximal gastrectomy (LAPG) with laparoscopy-assisted total gastrectomy (LATG) in patients with cT1N0 gastric cancer. This study assessed the safety and feasibility of LAPG with esophagogastrostomy in these patients and compared postgastrectomy disturbances and nutritional status following LAPG and LATG. METHODS: This study compared 40 patients who underwent LAPG with esophagogastrostomy and 59 who underwent LATG with esophagojejunostomy, both with OrVil™...
August 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26379901/comparison-of-two-different-circular-stapler-techniques-for-creation-of-gastrojejunostomy-anastomosis-in-bariatric-roux-en-y-gastric-bypass
#7
Ilhan Ece, Huseyin Yilmaz, Husnu Alptekin, Serdar Yormaz, Bayram Colak, Mustafa Sahin
BACKGROUND: Circular-stapled anastomosis with trans-oral anvil insertion is one of the most commonly used methods for the creation of the gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass (LRYGB). We present a retrospective analysis of laparoscopic gastric bypass by comparing 2 techniques of circular-stapled gastrojejunostomy; Orvil(TM) and hand-made Orvil. METHODS: Patients who were subjected to LRYGB without any concomitant procedures were observed over a 13-months period at the "Obesity clinic of a University"...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/26327774/systematic-review-of-anastomotic-complications-of-esophagojejunostomy-after-laparoscopic-total-gastrectomy
#8
Mikito Inokuchi, Sho Otsuki, Yoshitaka Fujimori, Yuya Sato, Masatoshi Nakagawa, Kazuyuki Kojima
AIM: To investigate the anastomotic complications of esophagojejunostomy (EJS) after laparoscopic total gastrectomy (LTG), we reviewed retrospective studies. METHODS: A literature search was conducted in PubMed for studies published from January 1, 1994 through January 31, 2015. The search terms included "laparoscopic," "total gastrectomy," and "gastric cancer." First, we selected 16 non-randomized controlled trials (RCTs) comparing LTG with open total gastrectomy (OTG) and conducted an updated meta-analysis of anastomotic complications after total gastrectomy...
August 28, 2015: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26269685/esophagojejunostomy-after-laparoscopic-total-gastrectomy-by-orvil%C3%A2-or-hemi-double-stapling-technique
#9
RANDOMIZED CONTROLLED TRIAL
Hao Wang, Qun Hao, Meng Wang, Min Feng, Feng Wang, Xin Kang, Wen-Xian Guan
AIM: To investigate the feasibility, advantages and disadvantages of two types of anvil insertion techniques for esophagojejunostomy after laparoscopic total gastrectomy. METHODS: This was an open-label prospective cohort study. Laparoscopy-assisted radical total gastrectomy with D2 lymph node dissection was performed in 84 patients with primary non-metastatic gastric cancer confirmed by pre-operative histological examination. Overweight patients were excluded, as well as patients with peritoneal dissemination and invasion of adjacent organs...
August 7, 2015: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/26123339/early-experience-and-lessons-learned-in-a-new-minimally-invasive-esophagectomy-program
#10
Benedetto Mungo, Anne O Lidor, Miloslawa Stem, Daniela Molena
BACKGROUND: Minimally invasive esophagectomy (MIE) is gaining increasing popularity in the treatment of esophageal cancer. In fact, while surgical and oncologic outcomes are not inferior to those achieved through a traditional open approach, patients undergoing MIE benefit from shorter length of stay, lesser pain and prompter recovery. This technique is, however, highly challenging, and the development of a MIE program, even in the setting of a tertiary center, requires time and progressive honing of surgical skills...
April 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26106443/assessments-of-health-services-availability-in-humanitarian-emergencies-a-review-of-assessments-in-haiti-and-sudan-using-a-health-systems-approach
#11
Jason W Nickerson, Janet Hatcher-Roberts, Orvill Adams, Amir Attaran, Peter Tugwell
BACKGROUND: Assessing the availability of health services during humanitarian emergencies is essential for understanding the capacities and weaknesses of disrupted health systems. To improve the consistency of health facilities assessments, the World Health Organization has proposed the use of the Health Resources Availability Mapping System (HeRAMS) developed in Darfur, Sudan as a standardized assessment tool for use in future acute and protracted crises. This study provides an evaluation of HeRAMS' comprehensiveness, and investigates the methods, quality and comprehensiveness of health facilities data and tools in Haiti, where HeRAMS was not used...
2015: Conflict and Health
https://www.readbyqxmd.com/read/26013872/-recent-advances-of-anastomosis-techniques-of-esophagojejunostomy-after-laparoscopic-totally-gastrectomy-in-gastric-tumor
#12
Xi Li, Chongwei Ke
The esophageal jejunum anastomosis of the digestive tract reconstruction techniques in laparoscopic total gastrectomy includes two categories: circular stapler anastomosis techniques and linear stapler anastomosis techniques. Circular stapler anastomosis techniques include manual anastomosis method, purse string instrument method, Hiki improved special anvil anastomosis technique, the transorally inserted anvil(OrVil(TM)) and reverse puncture device technique. Linear stapler anastomosis techniques include side to side anastomosis technique and Overlap side to side anastomosis technique...
May 2015: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/25960805/laparoscopic-assisted-total-gastrectomy-for-gastric-cancer-operative-technique
#13
Sebastian Smolarek, Abdelmonim Salih, Michal Kazanowski, Thomas N Walsh
For many years, open gastrectomy with lymphadenectomy was the gold standard treatment for gastric cancer. In recent years, however, laparoscopic assisted total gastrectomy with associated D2 lymphadenectomy has gained in popularity. It has a similar oncological outcome to open resection, but has all of the added advantages of a laparoscopic procedure, such as early mobilisation, less postoperative pain and shorter hospital stay. This article describes the operative techniques, including key procedure steps, as well as a guide for using the new OrVil device for the laparoscopic creation of the oesophago-jejunal anastomosis...
April 2015: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/25926082/an-automatically-contamination-avoiding-technique-for-intracorporeal-esophagojejunostomy-using-a-transorally-inserted-anvil-during-laparoscopic-total-gastrectomy-for-gastric-cancer
#14
Yan-Feng Hu, Da Wang, Tian Lin, Ting-Yu Mou, Hao Liu, Tao Chen, Zhen-Wei Deng, Xin Lu, Jiang Yu, Guo-Xin Li
BACKGROUND: Intracorporeal Roux-en-Y esophagojejunostomy during laparoscopic total gastrectomy for gastric cancer remains a challenging manipulation due to the uncontrolled direction of the jejunal side or unintended embedded tissues, although several methods have been introduced. In this study, we simplified the procedure based on a surgical string fixing technique using a transorally inserted anvil (OrVil™; Covidien Ltd., Mansfield, MA, USA). METHODS: From March 2012 to September 2013, 14 consecutive patients underwent simplified intracorporeal Roux-en-Y esophagojejunostomy using OrVil™ during laparoscopic total gastrectomy for gastric cancer at our hospital...
2015: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/25916099/a-new-option-for-intracorporeal-circular-stapled-esophagojejunostomy-in-laparoscopic-total-gastrectomy-roux-en-y-reconstruction-with-its-efferent-loop-located-at-the-left-side-of-the-patient-to-prevent-twisting-of-the-esophagojejunostomy
#15
Takaya Tokuhara, Eiji Nakata, Toshiyuki Tenjo, Isao Kawai, Syunpei Satoi, Keisuke Inoue, Mariko Araki, Hirofumi Ueda
BACKGROUND/AIMS: Laparoscopic total gastrectomy (LTG) has not gained widespread acceptance because of the difficult reconstruction technique, especially for esophagojejunostomy. Although various modified procedures using a circular stapler for esophagojejunostomy have been reported, an optimal technique has not yet been established. In addition, in intracorporeal techniques, twisting of the esophagojejunostomy, which might be the cause of stenosis, is often encountered because application of the shaft is restricted...
March 2015: Hepato-gastroenterology
https://www.readbyqxmd.com/read/25604985/building-policy-making-capacity-in-the-ministry-of-health-the-kazakhstan-experience
#16
Tata Chanturidze, Orvill Adams, Bolat Tokezhanov, Mike Naylor, Erica Richardson
BACKGROUND: Recent economic growth in Kazakhstan has been accompanied by slower improvements in population health and this has renewed impetus for health system reform. Strengthening strategic planning and policy-making capacity in the Ministry of Health has been identified as an important priority, particularly as the Ministry of Health is leading the health system reform process. CASE DESCRIPTION: The intervention was informed by the United Nations Development Programme (UNDP) framework for capacity building which views capacity building as an ongoing process embedded in local institutions and practices...
2015: Human Resources for Health
https://www.readbyqxmd.com/read/25548608/intrathoracic-esophagojejunostomy-using-orvil%C3%A2-for-gastric-adenocarcinoma-involving-the-esophagus
#17
Kazuhito Yajima, Tatsuo Kanda, Shin-Ichi Kosugi, Yosuke Kano, Takashi Ishikawa, Hiroshi Ichikawa, Takaaki Hanyu, Toshifumi Wakai
AIM: To demonstrate a new surgical technique of lower mediastinal lymphadenectomy and intrathoracic anastomosis of esophagojejunostomy using OrVil™. METHODS: After a total median phrenotomy, the supradiaphragmatic and lower thoracic paraesophageal lymph nodes were transhiatally dissected. The esophagus was cut off using a liner stapler and OrVil™was inserted. Finally, end-to-side esophagojejunostomy was created by using a circular stapler. From July 2009, we adopted this surgical technique for five patients with gastric cancer involving the lower esophagus...
December 27, 2014: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/25503153/outcome-of-esophagojejunostomy-during-totally-laparoscopic-total-gastrectomy-a-single-center-retrospective-study
#18
Yukiharu Hiyoshi, Eiji Oki, Koji Ando, Shuhei Ito, Hiroshi Saeki, Masaru Morita, Hideo Baba, Yoshihiko Maehara
AIM: The present study aimed to clarify the safety and feasibility of esophagojejunostomy during totally laparoscopic total gastrectomy (TLTG). PATIENTS AND METHODS: In 45 consecutive patients who underwent TLTG for gastric cancer, esophagojejunostomy was performed with a functional end-to-end anastomosis (FEEA) using a linear stapler in 24 patients or with a double stapling technique (DST) using a trans-orally inserted anvil (OrVil™) in 21 patients. RESULTS: The DST was more likely to be chosen in patients with tumors located in the upper stomach...
December 2014: Anticancer Research
https://www.readbyqxmd.com/read/25392669/laparoscopic-anterior-resection-new-anastomosis-technique-in-a-pig-model
#19
Abdulkadir Bedirli, Deniz Yucel, Burcu Ekim
BACKGROUND AND OBJECTIVES: Bowel anastomosis after anterior resection is one of the most difficult tasks to perform during laparoscopic colorectal surgery. This study aims to evaluate a new feasible and safe intracorporeal anastomosis technique after laparoscopic left-sided colon or rectum resection in a pig model. METHODS: The technique was evaluated in 5 pigs. The OrVil device (Covidien, Mansfield, Massachusetts) was inserted into the anus and advanced proximally to the rectum...
July 2014: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/25319372/retrograde-stapling-of-a-free-cervical-jejunal-interposition-graft-a-technical-innovation-and-case-report
#20
REVIEW
Christina Hackl, Felix C Popp, Katharina Ehehalt, Lena-Marie Dendl, Volker Benseler, Philipp Renner, Martin Loss, Jurgen Dolderer, Lukas Prantl, Thomas Kühnel, Hans J Schlitt, Marc H Dahlke
BACKGROUND: Free jejunal interposition is a useful technique for reconstruction of the cervical esophagus. However, the distal anastomosis between the graft and the remaining thoracic esophagus or a gastric conduit can be technically challenging when located very low in the thoracic aperture. We here describe a modified technique for retrograde stapling of a jejunal graft to a failed gastric conduit using a circular stapler on a delivery system. CASE PRESENTATION: A 56 year-old patient had been referred for esophageal squamous cell carcinoma at 20 cm from the incisors...
2014: BMC Surgery
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