V-29. A Novel SureForm-Based Technique for Cervical Esophago-Gastric Anastomosis During Robotic-Assisted McKeown Esophagectomy

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ID: 326114
2026
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Ranked #254 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Esophageal Cancer: Surgical Treatment of Esophageal Cancer – technique Video Description: Background Cervical esophago-gastric anastomosis during robotic-assisted McKeown esophagectomy is traditionally performed using hand-sewn or conventional stapled techniques, both of which are associated with variability and a steep learning curve. Standardization of the cervical anastomosis remains challenging. We describe a novel SureForm-based stapled technique for cervical esophago-gastric anastomosis aimed at improving precision, reproducibility, and workflow integration in robotic-assisted esophagectomy. Technique Description Following completion of the abdominal and thoracic phases of robotic-assisted McKeown esophagectomy, the gastric conduit is delivered to the neck through the posterior mediastinal route. A cervical incision is used to expose the esophageal stump. Using the robotic SureForm stapler, a side-to-side esophago-gastric anastomosis is constructed in the neck. Controlled enterotomies are created on the esophageal stump and gastric conduit, followed by stapled anastomosis formation with precise tissue alignment. The common channel is closed with another sureform stapler in a standardized manner, ensuring a tension-free and well-oriented anastomosis. Results The SureForm-based cervical anastomosis was feasible and reproducible, allowing consistent staple formation and precise tissue handling. The technique facilitated uniform anastomotic geometry and avoided the variability associated with hand-sewn methods. Intraoperative assessment confirmed satisfactory conduit perfusion and anastomotic integrity. Conclusion This novel SureForm-based technique for cervical esophago-gastric anastomosis during robotic-assisted McKeown esophagectomy is safe, reproducible, and easily adoptable. It offers a standardized alternative to conventional cervical anastomotic techniques and may contribute to improved consistency in robotic esophageal surgery.
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Authors Devendra Parikh, Bharat Prajapati, Jagdish Kothari
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.429
URL
https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.429/70760678/doag077.429.pdf
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