![]() No perioperative complications such as bleeding or difficulty of the gastric conduit elevation were recognized with this method. By pulling up this length of polyester tape from the neck, the gastric conduit can pass through the echo probe cover and be elevated to the neck. We carry out a laparoscopic-assisted perigastric lymph node dissection, make a small skin incision, and guide part of the thoracic esophagus and stomach outside the body.Įither one of the two lengths of polyester tape is connected to the gastric conduit. The echo probe cover that connects the proximal esophagus and distal esophagus is monitored for the presence of creases along the long axis to ensure there are no twists in the echo probe cover. One end of polyester tape is fixed to the distal esophageal stump with the clips, with the opposite end fixed to the proximal esophageal stump. The looped polyester tape and echo probe cover is ligated with silk approximately 5 cm in front of the knots on both sides.Īfter dissection is carried out according to practice, the previously crafted polyester tape is inserted into the chest cavity. The knots in the previously looped polyester tape are inserted into the echo probe cover. An echo probe cover of 10 cm in diameter and 50 cm in length is prepared and the tip cut off, forming a cylinder. Two 60-cm lengths polyester tape are ligated at both ends to form a loop. We report on a new method of gastric conduit elevation. ![]() Until now the gastric conduit created has been protected by an echo probe cover and, sown to the ventral side of polyester tape placed through the abdomen to the neck, and then blindly elevated to the neck. Use of a physiological posterior mediastinal pathway has increased given advances such as automated anastomotic devices and a reduction in the incidence of anastomotic sufficiency. Despite efforts to improve surgical techniques, serious complications still sometimes occur.
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