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EEA stapler in oesophagogastrectomies.

V Smirniotis1, G G Morritt

  • 1Regional Cardiothoracic Centre, Freeman Hospital, Newcastle Upon Tyne, England.

International Surgery
|January 1, 1990
PubMed
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The EEA circular stapler enables safe esophagogastric anastomoses during esophageal resections. This retrospective study found acceptable morbidity and mortality rates when using the EEA stapler with a low left thoracotomy approach.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Thoracic Surgery

Background:

  • Esophagogastric anastomoses are critical in esophageal resections.
  • The EEA circular stapler is a device used for creating these anastomoses.
  • Evaluating its efficacy and safety is important for surgical outcomes.

Purpose of the Study:

  • To assess the effectiveness and safety of the EEA circular stapler for esophagogastric anastomoses.
  • To analyze complication rates, including leakage and strictures.
  • To determine the feasibility of using the EEA stapler with a low left thoracotomy.

Main Methods:

  • Retrospective analysis of 85 consecutive patients undergoing esophageal resections.
  • Patients underwent either Lewis' procedure or low left thoracotomy.

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  • Data collected included operative time, blood loss, hospital stay, and complication rates.

    • Main Results:

    • Overall hospital mortality was 20%, with 4.7% related to anastomotic leakage.
    • Mean operative time was 168 minutes, and mean blood loss was 434 ml.
    • Benign anastomotic strictures occurred in 22% of patients, successfully treated with dilation.

    Conclusions:

    • The EEA circular stapler facilitates high and safe esophagogastric anastomoses.
    • Its use with a low left thoracotomy approach is associated with acceptable morbidity and mortality.
    • The device offers a viable option for reconstruction after esophageal resection.