H Anastomosis: The Ultimate Version of Intussuscepted Anastomosis Technique Used in Alimentary Reconstruction of Esophagectomy.

ABSTRACT:

Background

Intussuscepted anastomoses in esophagectomy reduce the risks of anastomotic leakage and gastroesophageal reflux, but anastomotic stricture remains a significant concern. This study presents a novel hand-sewn technique, "H anastomosis," designed to minimize stricture formation while preserving antileakage and antireflux functionality.

Methods

H anastomosis was simulated by using the esophagus and stomach of a Bama pig. The patency and antireflux function were assessed by injecting water into the ex vivo organs to stimulate the flow of food through the anastomotic stoma. Clinical data from 32 patients with esophageal squamous cell carcinoma who underwent minimally invasive esophagectomy with H anastomosis were retrospectively reviewed. Postoperative follow-up includ

SUBMITTER: Wu N 

PROVIDER: S-EPMC12712188 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature