Triple-stapled quadrilateral anastomosis: a new technique for creation of an esophagogastric anastomosis.

Journal: Esophagus : official journal of the Japan Esophageal Society
PMID: 29892931

Abstract

BACKGROUND: Esophagogastric anastomosis performed after esophagectomy is technically complex and often the source of postoperative complications. The best technique for this anastomosis remains a matter of debate. We describe a new all-stapled side-to-side anastomosis, which we refer to as triple-stapled quadrilateral anastomosis (TRIQ), that can be performed after minimally invasive surgery, and we report results of a retrospective evaluation of postoperative outcomes among the 60 patients in whom this anastomosis has been performed thus far.

Authors

  • Yuji Ishibashi
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan. yj-ishibashi@juntendo.ac.jp.
  • Tetsu Fukunaga
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Shinya Mikami
    Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
  • Shinichi Oka
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Satoshi Kanda
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Yukinori Yube
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Yoshinori Kohira
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Juntendo University School of Medicine, 3-1-3 Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
  • Takeharu Enomoto
    Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
  • Takehito Otsubo
    Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.

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