{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T06:03:37Z","timestamp":1779775417274,"version":"3.53.1"},"reference-count":32,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Esophageal squamous cell carcinoma (ESCC) located at the cervicothoracic junction (CTJ-ESCC), approximately 18\u201321 cm from the incisors, poses unique surgical difficulties given its proximity to the trachea and recurrent laryngeal nerves. This investigation evaluated a new approach that avoids cervical incisions by combining the EGIARADMT\u2122 curvilinear stapling method with OrVil\u2122-based three-dimensional suspension anastomosis (TriSAS) to achieve R0 resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on 11 consecutive cases of CTJ-ESCC treated between February 2019 and March 2024, with follow-up data available until February 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All patients underwent R0 resection without cervical incisions, achieving a proximal margin of 1\u20134 cm. The median operative time was 350 minutes (range: 275\u2013605) with a blood loss of 100 mL (range: 20\u2013700). Lymphadenectomy resulted in a median of 21 nodes (range: 9\u201338) being retrieved. The median duration of hospitalization was 49 days (range: 42\u201367). There were no occurrences of anastomotic leaks, strictures, or recurrent laryngeal nerve injuries. Transient gastric stasis was observed in 18.2% of cases and resolved with conservative management. One postoperative mortality was attributed to pulmonary infection. The median overall and disease-free survival were 25 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Integrating EGIARADMT curvilinear stapling with OrVil-TriSAS anastomosis enables cervical incision-free R0 resection for CTJ-ESCC, achieving precise oncologic control with functional preservation. Adjuvant therapy may further improve survival despite clear margins.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2025.0075","type":"journal-article","created":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T14:00:53Z","timestamp":1752069653000},"page":"726-734","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cervical Incision-Free Technique for R0 Resection in Cervicothoracic Esophageal Carcinoma: A Novel Approach of the Chai\u2019s Supra-Thoracic Apex Technique"],"prefix":"10.1177","volume":"35","author":[{"given":"Wei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, North District, First Affiliated Hospital of Anhui Medical University (Anhui Provincial Clinical Centre for Public Health), Hefei, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yayun","family":"Sheng","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Lishui People\u2019s Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4897-9815","authenticated-orcid":false,"given":"Shouqiang","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Lishui People\u2019s Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Lishui People\u2019s Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiping","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, North District, First Affiliated Hospital of Anhui Medical University (Anhui Provincial Clinical Centre for Public Health), Hefei, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feng","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Lishui People\u2019s Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, The First Affiliated Hospital of Wannan Medical College (Yijishan Hospital of Wannan Medical College), Wuhu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Du","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Nanjing Lishui People\u2019s Hospital, Zhongda Hospital Lishui Branch, Southeast University, Nanjing, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jncc.2024.01.006"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10388-023-00994-1"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003559"},{"key":"e_1_3_7_5_2","first-page":"185","article-title":"Esophagus and esophagogastric junction","volume":"8","author":"Rice TW","year":"2017","unstructured":"Rice TW, , Kelsen D, , Blackstone EH, et al. 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