Experiences with a simple laparoscopic gastric tube construction

J Cardiothorac Surg. 2013 Jan 17:8:14. doi: 10.1186/1749-8090-8-14.

Abstract

Background: Minimally invasive esophagectomy (MIE) is a complex operation, and the detailed optimal surgical procedure has not been well described. Our aim was to evaluate use of a simple method of laparoscopic gastric tube construction as minimally invasive surgery for patients with esophageal cancer.

Methods: We performed a retrospective review of 26 consecutive patients who underwent MIE for esophageal cancer in the Koo Foundation Sun Yat-Sen Cancer Center between September 2009 and August 2011. Perioperative data and postoperative complications were statistically analyzed.

Results: The patient group consisted of 22 men and 4 women. MIE was performed successfully in all patients. The mean operative time was 430.4 ± 60.6 minutes, and the mean estimated operative blood loss was 135.0 ± 97.8 mL. There were no cases of conversion to open surgery during the procedure. The postoperative complication rate was 53.8%, and there was no surgical mortality.

Conclusions: We recommend this novel method of total laparoscopic staplized formation of gastric tube to facilitate gastric pull-up.

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Squamous Cell / surgery
  • Esophageal Neoplasms / surgery
  • Esophagectomy / instrumentation
  • Esophagectomy / methods*
  • Female
  • Humans
  • Laparoscopy / instrumentation*
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / instrumentation*
  • Minimally Invasive Surgical Procedures / methods*
  • Perioperative Period
  • Postoperative Complications / etiology
  • Retrospective Studies