STEP 1Resection and technique of anastomosis

After resection of the stenotic segment, mobilization of the proximal and distal end of the esophagus restores the basis for reconstruction of the continuity with single layer end-to-end anastomosis in single suture technique. The distance of each suture should be 5 mm. Each stitch should be placed 5 mm distant to the anastomosis.

In stenosis shorter than 1 cm, strictureplasty according to Heineke Mikulicz should be performed. Therefore a longitudinal esophagectomy is performed using a single layer transverse closure with mattress sutures.

Single Layer Anastomosis

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