Extending the reach of stapled anastomosis with a prepared OrVil? device in laparoscopic oesophageal and gastric cancer surgery.

摘要

Despite a steep learning curve, the OrVil? device is safe and reliable. It also permits the creation of higher trans-hiatal anastomoses without resorting to thoracotomy in high-risk patients with cardia tumours. Certain shortcomings of the device, that had implications for patient safety, were identified and addressed by intra-operative modification during the study period. We commend the use of a prepared OrVil? device, as a game changer, for upper gastrointestinal reconstruction.