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Related Experiment Video

Updated: Dec 26, 2025

Low-Cost Single-Port LoCoSP Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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[Total minimally invasive esophagectomy].

Beat Müller-Stich1, Thomas Schmidt2, Henrik Nienhüser2

  • 1Klinik für Allgemein‑, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld, 69120, Heidelberg, Deutschland. Beat.Mueller@med.uni-heidelberg.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|March 18, 2020
PubMed
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Minimally invasive esophagectomy can be challenging due to intrathoracic anastomosis. This study presents a feasible and safe linear stapler technique for esophagogastrostomy, simplifying reconstruction after esophagectomy.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Esophagectomy for cancer has high morbidity, with minimally invasive approaches aiming to reduce this.
  • A key challenge in minimally invasive esophagectomy is achieving a safe intrathoracic anastomosis.
  • Existing solutions include collar anastomosis, hybrid techniques, and robotic assistance.

Purpose of the Study:

  • To demonstrate a minimally invasive linear stapler technique for intrathoracic esophagogastrostomy.
  • To present an easily applicable method for esophagogastrostomy reconstruction without robotic assistance.

Main Methods:

  • A 4.5 cm gastric conduit is created using a linear stapler technique during the abdominal phase.
  • Thoracic lymphadenectomy is completed, and the specimen is removed via mini-thoracotomy.

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  • Anastomosis is created by side-to-side esophagogastrostomy using the linear stapler, with hand-sewing for reinforcement.

    • Main Results:

    • The linear stapler technique facilitates the creation of an intrathoracic esophagogastrostomy.
    • The described method is applicable without the need for robotic assistance.
    • The technique appears to be easily feasible and safe for reconstruction.

    Conclusions:

    • Side-to-side esophagogastrostomy using a linear stapler technique is a feasible and safe alternative for reconstruction after minimally invasive esophagectomy.
    • Further confirmation is being sought through a randomized controlled trial.