Tubular gastric elongation surgery for high esophageal-gastric anastomosis after resection of esophageal cancer:analysis of 5 cases
10.3969/j.issn.1673-4254.2018.01.020
- VernacularTitle:管状胃延长术是食管癌切除术后胃食管高位吻合时的应急选择
- Author:
Hai ZHONG
1
;
Xiang LI
;
Hongsen LIANG
;
Nanbo LIU
;
Yufan LIU
;
Junhua ZHANG
;
Xu WU
Author Information
1. 南方医科大学附属南方医院惠侨医疗中心胸外科
- Keywords:
tubular gastric lengthening surgery;
esophageal cancer;
gastric tube;
high esophageal-gastric anastomosis
- From:
Journal of Southern Medical University
2018;38(1):123-125
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize our experience with tubular gastric elongation surgery for management of insufficient gastric length for high esophageal-gastric anastomosis following esophageal carcinoma resection. Methods From September, 2015 to October 2016, 5 patients with esophageal cancer were treated in our department, including two with cervical esophageal cancer and 3 with thoracic esophageal cancer. The patients with cervical esophageal cancer underwent pharyngeal resection, total laryngectomy, esophageal varus extubation and gastric oropharyngeal anastomosis, and the patients with thoracic esophageal cancer underwent esophageal cancer resection with incisions on the left neck, the right chest and the median abdomen. During the surgery, the length of the stomach was found insufficient to allow routine oropharyngeal anastomosis, and tubular gastric elongation was conducted to extend the tubular stomach to enable successful completion of the surgery. Results All the patients recovered smoothly after the surgery and were discharged after 2-3 weeks. Conclusion Tubular gastric elongation surgery can be a good choice for high esophageal-gastric anastomosis after resection of esophageal cancer in cases of insufficient tubular stomach length or high tension at the anastomosis.
