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Τετάρτη 29 Σεπτεμβρίου 2021

A Safe and Effective Anastomotic Technique for Robot‐Assisted Minimally Invasive Esophagectomy:Reverse‐Puncture Anastomosis

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Abstract

Background

Esophagogastric anastomosis is mainly complicated by its tediousness. We hope to modified an esophagogastric anastomotic technique that simplifies anastomosis.

Methods

We conducted a retrospective analysis of 57 cases executed using reverse-puncture anastomotic (RPA) technique and 64 cases of manual purse anastomosis(MPA) technique for robot-assisted minimally invasive esophagectomy (RAMIE). Baseline characteristics, perioperative outcomes were analyzed.

Results

There were no significant differences between the 2 groups with regards to demographic data and clinical features. All patients had R0 resection. Relative to MPA, RPA group experienced significantly shorter operation times (232.5±33.84 vs 262.3±83.94 min, p = 0.038).RPA group patients had shorter anastomotic times relative to MPA group patients (10.5±3.4 vs 18.3±4.1min, p = 0.014). No adverse events were observed.

Conclusions

Reverse-Puncture Anastomosis is safe, feasible in RAMIE. This approach has the potential to efficiently shorten the anastomotic time and ensure safe operation.

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Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,

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