Techniques of Esophageal Anastomoses for Esophagectomy

Surg Clin North Am. 2021 Jun;101(3):511-524. doi: 10.1016/j.suc.2021.03.012.

Abstract

This article discusses and illustrates a variety of accepted techniques of esophagogastric anastomosis during an esophagectomy. The performance of an anastomotic technique can be surgeon specific, although it is of great benefit for the esophageal surgeon to be facile and adept in multiple techniques, as occasionally the clinical situation may be better suited for a particular technique. Regardless of the method of creating the esophagogastric anastomosis, the goal is to create a viable, tension-free and nonobstructive anastomosis with adequate margins.

Keywords: Esophagectomy; Esophagogastric anastomosis; Minimally invasive esophagectomy; Robotic-assisted minimally invasive esophagectomy; Techniques of esophageal anastomosis.

Publication types

  • Review

MeSH terms

  • Adenocarcinoma / surgery*
  • Anastomosis, Surgical
  • Carcinoma, Squamous Cell / surgery*
  • Esophageal Neoplasms / surgery*
  • Esophagectomy / methods*
  • Esophagus / surgery*
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Stomach / surgery*
  • Suture Techniques