Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 19 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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MECHANICAL ESOPHAGEAL ANASTOMOSIS:
RETROSPECTIVE STUDY OF 56 PATIENTS
J. Herve, Ch. Simoens, D. Smets, V. Thill, P. Mendes Da Costa
Department of Digestive, Thoracic and Laparoscopic Surgery
CHU Brugmann, ULB, Brussels, Belgium
Jurnalul de chirurgie 2009; 5 (1): 34-44
Full text:
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Abstract:

Aim: To analyze outcomes of intrathoracic esophageal anastomosis performed using mechanical stapling devices . Methodology: We retrospectively analyzed the records of 56 consecutive patients who underwent esophagectomy, total gastrectomy, or degastro-gastrectomy with mechanical intrathoracic esophageal anastomosis between 1995 and 2006. The mean age of patients according to procedure were 62.5, 67.4, and 69.6 years, respectively. Results: We observed only one anastomotic leak (1.6%), which we treated medically. Postoperative mortality was 12.5%; no deaths were related to the presence of an anastomotic leak or to surgical complications. Four of the 45 satisfactorily-followed patients (8.8%) presented with anastomotic stenosis; all patients were treated successfully by endoscopic dilatation. Conclusion: Intra-thoracic esophageal anastomoses can be performed more efficiently using mechanical stapling devices. The risk of stenosis is reduced when the anastomoses are termino-lateral and when their diameter is as wide as possible. Strictures can be treated efficiently by endoscopic dilatation.

KEY WORDS: ESOPHAGEAL ANASTOMOSIS, POSTOPERATIVE COMPLICATIONS, MECHANICAL STAPLING DEVICES

Correspondence to: Pierre Mendes da Costa, MD, PhD, Professor of Surgery, Department of Digestive, Thoracic and Laparoscopic Surgery, CHU Brugmann, Place A. Van Gehuchten, 4, B – 1020 Brussels, Belgium;  e-mail:



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.