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首页> 外文期刊>Surgical Endoscopy >Experience of 15 years using the 25-mm flexed end to end anastomosis anvil for safe transoral passage during intracorporeal circular-stapling gastrojejunostomy, esophagogastrostomy, and esophagojejunostomy.
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Experience of 15 years using the 25-mm flexed end to end anastomosis anvil for safe transoral passage during intracorporeal circular-stapling gastrojejunostomy, esophagogastrostomy, and esophagojejunostomy.

机译：在体内环形吻合胃空肠吻合术，食管胃造瘘术和食管空肠吻合术中使用25毫米弯曲端对端吻合砧在经口安全通行方面有15年的经验。

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I read with interest the article entitled Intracorporeal Circular Stapling Esophagojejunostomy Using the Transorally Inserted OrVilTM After Laparoscopic Total Gastrectomy. The article stated that "an optimal procedure has yet to be established," referring to the use of a flip-top end to end anastomosis (EEA) for reconstruction after major gastric resections [1].The authors did not report that this technique has been described since 1995, first for the use of gastrojejunostomy during Roux-en-Y gastric bypass and then for esophagog-astrostomies and esophagojejunostomies after proximal or total gastrectomies and various esophagectomies.The OrVilTM product by Covidien (Norwalk, CT) is a commercialization of the concept and method I designed in 1995 and used clinically in 1996, applying a conventional 25-mm curved end to end anastomosis (CEEA) anvil from which the spring was removed, the cutting plate depressed to allow free movement, and the anvil shaft invaginated into a cut no. 18 nasogastric tube.
机译：我感兴趣地读了一篇文章，标题为腹腔镜全胃切除术后使用经口插入的OrVilTM进行体内圆形吻合食管空肠吻合术。文章指出，“尚无最佳方法”，指的是在胃大部切除术后使用翻盖式端到端吻合术（EEA）进行重建[1]。自1995年以来已被描述，首先是在Roux-en-Y胃旁路手术中使用胃空肠造口术，然后是在近端或全胃直肠切除术和各种食管切开术之后进行食管-胃造口术和食管空肠切开术。我在1995年设计并在1996年临床使用的概念和方法，应用了传统的25毫米弯曲端对端吻合（CEEA）砧，该砧从弹簧上取下，压下切割板以允许其自由移动，并向砧座内翻切成编号18鼻胃管。

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