Intracorporeal Anastomotic Techniques for Sigmoid and Rectal Resections

2020 ◽  
pp. 35-50
Author(s):  
Daniel A. Popowich ◽  
Kathryn Ely Pierce Chuquin
Keyword(s):  
Anastomotic Techniques

Three Anastomotic Techniques Following Laparoscopic Rectal Cancer Resection: Our Experience in 155 Patients

2017 ◽  
Vol 25 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Mahtab Zanguie ◽  
Abbas Abdollahi ◽  
Roham Salek ◽  
Ali Jangjoo ◽  
Mehdi Jabbari Nooghabi ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Cancer Resection ◽  
Rectal Cancer Resection ◽  
Anastomotic Techniques

Landmark Series in Pancreatic Tumors: Anastomotic Techniques and Route of Reconstruction

2021 ◽  
Vol 28 (4) ◽  
pp. 2227-2234
Author(s):  
Teviah E. Sachs ◽  
Jennifer F. Tseng
Keyword(s):  
Pancreatic Tumors ◽  
Anastomotic Techniques

Alternative Anastomotic Techniques

2003 ◽  
pp. 393-410
Author(s):  
David A. D'Alessandro ◽  
Mehmet C. Oz
Keyword(s):  
Anastomotic Techniques

Various Anastomotic Techniques for Size Mismatch in Pulmonary Artery during Lung Implantation

2019 ◽  
Vol 38 (4) ◽  
pp. S419-S420
Author(s):  
Y. Yokoyama ◽  
T. Chen Yoshikawa ◽  
Y. Yamada ◽  
Y. Yutaka ◽  
D. Nakajima ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Size Mismatch ◽  
Anastomotic Techniques

Investigation into the Functional Microscopic Integrity of Various Anastomotic Techniques

2018 ◽  
Vol 227 (4) ◽  
pp. e137
Author(s):  
Herbert M. Hedberg ◽  
Michael Ujiki ◽  
John C. Alverdy
Keyword(s):  
Anastomotic Techniques

ADDITIONAL VASCULAR RECONSTRUCTION AND SPECIAL VASCULAR ANASTOMOTIC TECHNIQUES – AN IMPACT FACTOR IN EARLY GRAFT DYSFUNCTION?

2008 ◽  
Vol 86 (Supplement) ◽  
pp. 137
Author(s):  
M A. Manu ◽  
I Sinescu ◽  
M Harza ◽  
B Serbanescu ◽  
R Varsandan ◽  
...  
Keyword(s):  
Impact Factor ◽  
Vascular Reconstruction ◽  
Graft Dysfunction ◽  
Early Graft ◽  
Early Graft Dysfunction ◽  
Anastomotic Techniques

O187 ANASTOMOTIC TECHNIQUES AND ASSOCIATED MORBIDITY IN TOTAL MINIMALLY-INVASIVE TRANSTHORACIC ESOPHAGECTOMY – RESULTS FROM THE ESOBENCHMARK DATABASE

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
W Schroeder ◽  
D Raptis ◽  
H Schmidt ◽  
S Gisbertz ◽  
J Moons ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Anastomotic Leakage ◽  
Surgical Complication ◽  
Multivariable Analysis ◽  
Current Status ◽  
Transthoracic Esophagectomy ◽  
Purse String ◽  
Comprehensive Complication Index ◽  
Double Stapling ◽  
Anastomotic Techniques

Abstract Background Total minimally-invasive transthoracic esophagectomy (ttMIE) faces increasing application in surgical treatment of esophageal cancer. For esophago-gastric reconstruction, different anastomotic techniques are currently used, but their impact on postoperative anastomotic leakage and morbidity has not been investigated. The aim of this retrospective multicenter analysis was to describe anastomotic techniques used for ttMIE and to analyze the associated morbidity. Patients and Methods Patients were selected from a basic dataset, collected over a 5-year period from 13 international surgical high-volume centers. Endpoints were anastomotic leakage rate and postoperative morbidity in correlation to anastomotic techniques, measured by the CD classification and the Comprehensive Complication Index® (CCI). Results Five anastomotic techniques were identified in 966 patients after ttMIE: Intrathoracic end-to-side circular-stapled technique in 427 patients (double-stapling n=90, purse-string n=337), intrathoracic (n=109) or cervical (n=255) side-to-side linear-stapled, and cervical end-to-side hand-sewn (n=175). Leakage rates were similar in intrathoracic and cervical anastomoses (15.9% vs. 17.2%, P=0.601), but overall complications (56.7%% vs. 63.7%, P=0.029) and median 90-day CCI (21 (IQR 0-36) vs. 29 (IQR 0-40), P=0.019) favored intrathoracic reconstructions. Leakage rates after intrathoracic end-to-side double-stapling (23.3%) and cervical end-to-side hand-sewn (25.1%) techniques were significantly higher compared with intrathoracic side-to-side linear (15.6%), end-to-side purse-string (13.9%) and cervical side-to-side linear-stapled esophago-gastrostomies (11.8%) (P<0.001). Multivariable analysis confirmed anastomotic technique as independent predictor of leakage after ttMIE. Conclusion Results of this analysis present the current status of the technical evolution of ttMIE with anastomotic leakage as predominant surgical complication. However, technique-related morbidity requires cautious interpretation considering the long learning curve of this complex surgical procedure.

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