{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:34:39Z","timestamp":1761006879495,"version":"build-2065373602"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3485,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Gastric pull\u2010up is a useful method for reconstruction of the upper digestive tract, with considerable morbidity\/mortality, especially in esophageal cancers (EC)<\/jats:p><\/jats:sec><jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To analyze the experience of a multidisciplinary team with a laparoscopic gastric pull\u2010up (LGPU) method, with or without thoracoscopy, in a series of 120 patients with EC.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Retrospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS AND METHODS<\/jats:title><jats:p>From 1992 to 2004, 120 EC [cervical\/cervicothoracic (3.0%), middle third (15.0%), and inferior third (82.0%)]. Most were squamous cell carcinomas (47.0%) and adenocarcinomas (34.0%). Stomach was dissected and mobilized exclusively by laparoscopy. Occasionally, laparoscopic approach was extended cranially, until connecting with cervical dissection. In other cases, dissection of thoracic esophagus was accomplished through a thoracoscopic approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Eighty\u2010one patients (68.0%) had LGPU; 39 (32.0%) needed thoracoscopy. Mortality was 5.9%. Complications were fistula (10.0%) and pneumonia (10.0%). All fistulae closed spontaneously; 89.2% of patients could swallow a normal oral diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Low morbidity\/mortality of LGPU for EC compared favorably with conventional techniques.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2006.04.019","type":"journal-article","created":{"date-parts":[[2006,10,28]],"date-time":"2006-10-28T07:18:43Z","timestamp":1162019923000},"page":"710-713","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Reconstruction of upper digestive tract: Reducing morbidity by laparoscopic pull\u2010up"],"prefix":"10.1002","volume":"135","author":[{"given":"Aureo L.","family":"DePaula","sequence":"first","affiliation":[{"name":"The Department of Surgery Albert Einstein Jewish Hospital S\u00e2o Paulo Brazil"},{"name":"The Department of Surgery Clinical Specialties Hospital Goi\u00e2nia 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