نتایج جستجو برای: gastric pull
تعداد نتایج: 120584 فیلتر نتایج به سال:
BACKGROUND Free jejunal interposition is a useful technique for reconstruction of the cervical esophagus. However, the distal anastomosis between the graft and the remaining thoracic esophagus or a gastric conduit can be technically challenging when located very low in the thoracic aperture. We here describe a modified technique for retrograde stapling of a jejunal graft to a failed gastric con...
Laparoscopic repair of post-esophagectomy diaphragmatic hernias using human acellular dermal matrix.
Diaphragmatic hernias occur in up to 2% of patients after esophagectomy with gastric pull-up, and the surgical repair in the setting of a previous esophagectomy is a challenge with high complication rates, in particular with regards to the gastric conduit and its critical vascular supply. We describe two cases and the technique of minimally invasive, laparoscopic repair of diaphragmatic defects...
In the second stage, the patient is placed in a supine position for laparoscopic construction of the gastric conduit, placement of a feeding jejunostomy, and pyloroplasty. The third stage consists of mobilization of the cervical esophagus via the left neck, removal of the surgical specimen and gastric pull-up, and construction of an esophagogastric anastomosis. This phase of the operation is pe...
BACKGROUND There is debate about the optimal voice restoration method and technique for patients who have undergone total laryngopharyngectomy, esophagectomy, and gastric pull-up. The purpose of this study was to report a series of patients who underwent awake, secondary tracheoesophageal puncture (TEP) after this procedure. METHODS A retrospective chart review was performed at a tertiary ref...
approximately 20% of caustic ingestions result in some degree of esophageal injury. alkaline materials are the most frequent corrosive materials ingested. the physical form and ph of ingested materials play a critical role in the site and type of gastrointestinal injury (ph > 12 or ph < 1.5, crystalline drain cleaners). unlike alkaline solutions, strong acids are bitter, burn on contact and...
Pharyngolaryngoesophagectomy is the gold standard treatment for the majority of larynx, pharynx and cervical esophagus advanced tumours. Reconstruction of these pharyngoesophageal defects is complex, and implicates additional time, morbity and mortality to the procedure. Gastric pull up and pharyngogastrostomy with hand sewing technique is the commonest way of doing it. The authors describe a m...
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