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How I do an Intrathoracic Hand-Sewn Anastomosis During a Minimally Invasive Oesophagectomy
Aadil Rahim1,2, Michael Devadas1,2
1Department of Upper GI Surgery, Nepean Hospital, Kingswood, New South Wales, Australia.
ANZ Journal of Surgery
|December 4, 2025
Summary
Minimally invasive oesophagectomy offers better outcomes than open surgery. This study details a two-stage approach for oesophageal cancer using an intra-thoracic hand-sewn anastomosis, improving patient recovery.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Thoracic Surgery
Background:
- Minimally invasive oesophagectomy (MIO) is associated with reduced complications and improved quality of life compared to open oesophagectomy.
- Various oesophagogastric anastomosis techniques exist, including three-stage neck anastomosis and two-stage trans-oral anvil methods.
