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首页> 外文期刊>Surgical Endoscopy >New procedure for purse-string suture in thoracoscopic esophagectomy with intrathoracic anastomosis.
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New procedure for purse-string suture in thoracoscopic esophagectomy with intrathoracic anastomosis.

机译：胸腔镜食管切除术合并胸腔内吻合术的荷包缝合新方法。

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BACKGROUND: In endoscopic surgery, one of the greatest problems is the difficulty with the reconstructive procedure. This problem frequently makes operating times longer. The authors have performed thoracoscopic esophagectomy and intrathoracic esophagogastric anastomosis for reconstruction using a circular stapler for the esophageal cancer. Although the circular stapler is a useful device for gastrointestinal anastomosis, it was difficult to place a purse-string suture and to fixate the anvil into the proximal esophagus endoscopically. METHODS: The authors devised a new procedure for the placement of the purse-string suture by using an Endo-Stitch device along with a new method to incise the esophageal wall and thereby facilitate fixation of the anvil. RESULTS: The authors attempted this procedure for five patients. The anastomoses were performed successfully. CONCLUSIONS: The new procedure can make endoscopic intrathoracic anastomosis feasible and safe. In addition, this procedure can be applied widely to other endoscopic reconstructions.
机译：背景：在内窥镜手术中，最大的问题之一是重建手术的难度。此问题经常使操作时间变长。作者已经进行了胸腔镜食管切除术和胸腔内食管胃吻合术，使用圆形吻合器重建食管癌。尽管圆形吻合器是用于胃肠道吻合术的有用装置，但是难以通过内窥镜放置荷包缝线并将砧座固定在食道近端。方法：作者设计了一种使用Endo-Stitch装置放置荷包缝合线的新方法，以及一种新的方法来切割食道壁，从而促进砧座的固定。结果：作者尝试了五名患者的此过程。吻合术成功进行。结论：新方法可使内镜下胸腔内吻合术可行且安全。此外，该程序可广泛应用于其他内窥镜重建。

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