ダウンロード数 : ?
ファイル
言語
英語
著者
田中 恒夫
内容記述(抄録等)
Background: Despite efforts to improve surgical techniques, serious complications still sometimes occur. Use of a physiological posterior mediastinal pathway has increased given advances such as automated anastomotic devices and a reduction in the incidence of anastomotic sufficiency. Until now the gastric conduit created has been protected by an echo probe cover and, sown to the ventral side of polyester tape placed through the abdomen to the neck, and then blindly elevated to the neck. We report on a new method of gastric conduit elevation.
Methods: Two 60-cm lengths polyester tape are ligated at both ends to form a loop. An echo probe cover of 10 cm in diameter and 50 cm in length is prepared and the tip cut off, forming a cylinder. The knots in the previously looped polyester tape are inserted into the echo probe cover. The looped polyester tape and echo probe cover is ligated with silk approximately 5 cm in front of the knots on both sides. After dissection is carried out according to practice, the previously crafted polyester tape is inserted into the chest cavity. One end of polyester tape is fixed to the distal esophageal stump with the clips, with the opposite end fixed to the proximal esophageal stump. The echo probe cover that connects the proximal esophagus and distal esophagus is monitored for the presence of creases along the long axis to ensure there are no twists in the echo probe cover. We carry out a laparoscopic-assisted perigastric lymph node dissection, make a small skin incision, and guide part of the thoracic esophagus and stomach outside the body. Either one of the two lengths of polyester tape is connected to the gastric conduit. By pulling up this length of polyester tape from the neck, the gastric conduit can pass through the echo probe cover and be elevated to the neck.
Results: No perioperative complications such as bleeding or difficulty of the gastric conduit elevation were recognized with this method.
Conclusions: This method is considered to serve as a useful technique for gastric conduit elevation.
主題
Esophagectomy
Gastric conduit elevation
Echo probe cover
掲載誌名
World Journal of Surgical Oncology
10
20
ISSN
1477-7819
発行日
2012-01-24
DOI
資料タイプ
学術雑誌論文
ファイル形式
PDF
関連情報URL(IsVersionOf)
http://www.wjso.com/content/10/1/20
権利関係
© 2012 Hirahara et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
著者版/出版社版
出版社版
業績ID
e16567
部局
医学部