

Author: Nguyen Ninh T. Dholakia Chirag Nguyen Xuan-Mai T. Reavis Kevin
Publisher: Southeastern Surgical Congress
ISSN: 0003-1348
Source: The American Surgeon, Vol.76, Iss.10, 2010-10, pp. : 1135-1138
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Abstract
Pyloroplasty is performed during esophagectomy to avoid delayed gastric emptying. However, studies have shown that gastric function is minimally impaired even without a pyloroplasty when a gastric tube rather than the whole stomach is used for reconstruction. The aim of this study was to evaluate outcomes of minimally invasive esophagectomy without performance of a pyloroplasty. We performed a retrospective review of 145 patients who underwent a minimally invasive esophagectomy. The 30-day mortality was 2.1 per cent with an in-hospital mortality of 3.4 per cent. Of the 140 patients with more than 90 days follow-up, 31 patients had a pyloroplasty and 109 patients did not. One (3.2%) of 31 patients with pyloroplasty
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