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Transoral application of EEA stapler after subtotal oesophagectomy
1Department of Surgery, University Hospital, Bratislava, Slovakia.
Objective:
To describe a new transoral technique of cervical oesophagogastric and oesophagojejunal anastomoses using the EEA stapler.
Design:
Prospective clinical study.
Setting:
University Hospital, Bratislava, Slovakia.
Subjects:
Two patients with squamous cell carcinoma of the middle and distal third of the oesophagus.
Interventions:
Transhiatal subtotal oesophagectomy without thoracotomy, and cervical oesophageal anastomosis by transoral EEA stapling.
Main Outcome Measures:
Morbidity and mortality.
Results:
Transoral stapling was successful in both patients with no anastomotic leaks. The patients were discharged on the 14th and 21st postoperative days, respectively.
Conclusions:
Transoral stapling of the cervical anastomosis gave good results in two patients. More development and evaluation are needed.