Abstract

FLEITES GONZALEZ, Gilberto; HIDALGO HERRERA, Manuel; ALVAREZ PADRON, Jesús  and  UBALS JUSTIS, Ernesto. Side-to-side esophagogastric anastomosis with linear stapler in Ivor Lewis operation. Rev Cub Med Mil [online]. 2012, vol.41, n.3, pp. 292-301. ISSN 0138-6557.

Introduction: esophageal tumoral lesions have a growing impact on the Cuban population. However, their surgical treatment is risky, particularly due to the occurrence of anastomotic failures. Objective: propose a modification of Ivor Lewis esophagogastrectomy by means of a side-to-side anastomosis with stapler. Methods: nineteen Ivor Lewis esophagogastrectomies were performed with the proposed modification of the anastomotic technique between January 2004 and December 2010. Results: of the patients operated on, two had tumors in the middle third, eleven in the distal third, and six in the esophagogastric junction or the upper stomach invading the distal esophagus. No surgical deaths occurred. The following were major complications: pulmonary thromboembolism of fine branch, atrial fibrillation, pneumonia and atelectasis. No case presented anastomotic dehiscence or stenosis. Average hospital stay was 11 days (minimum 8, maximum 17). Conclusions: side-to-side esophagogastric anastomosis with linear stapler reduces the incidence of dehiscence and stenosis, preventing the occurrence of complications in esophageal surgery.

Keywords : esophagus; esophagogastrectomy; Ivor Lewis technique.

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