Comparison of the stapled suture with the manual suture in the application of minimally invasive esophagectomy
10.3760/cma.j.issn.1671-0274.2014.09.009
- VernacularTitle:全腔镜食管癌三野根治术颈部机械吻合与手工吻合的应用比较
- Author:
Feng WANG
1
;
Shuoyan LIU
;
Jianjian WANG
;
Xiaofeng CHEN
;
Qingfeng ZHENG
;
Zhen WANG
;
Jianjian XU
;
Saiyun CHEN
Author Information
1. 福建省肿瘤医院胸外科
- Keywords:
Esophageal neoplasms;
Esophagectomy;
Thoracoscopy;
Laparoscopy;
Stapl ed suture;
Manual suture
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(9):881-883
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the associated anastomotic complication of cervical esophagogastric anastomosis between stapled and hand-sewn anastomosis in minimally invasive esophagectomy (MIE). Methods Clinical data of 203 patients with esophageal cancer receiving combined thoracoscopic and laparoscopic esophagectomy with anastomosis in the neck in our hospital from January 2010 to November 2013 were retrospectively analyzed. All the patients were divided into stapled group (104 patients) and hand-sewn group (99 patients). The incidence of anastomotic leakage and anastomotic stricture between these two groups were compared. Results There were no significant differences between two groups in gender, age, body mass index, total protein, albumin, and neoadjuvant chemotherapy (all P>0.05). There was no significant difference between the two groups in the incidence of anastomotic leakage[6/104(5.77%) vs. 3/99(3.03%), P>0.05], while the difference in the incidence of anastomotic stricture was significant [10/104(9.62%) vs. 2/99(2.02%), P<0.05]. The time of anastomosis, dieting and hospital stay was (15.5±5.0) min, (5.0±2.8) d and (18.3±5.9) d in stapled group, which was significantly shorter than (28.0±4.5) min, (5.9±1.2) d and (21.8±4.2) d in hand-sewn group (all P<0.05). Conclusion In the minimally invasive esophagectomy, stapled cervical esophagogastric anastomosis is simple and precise , but it is associated with increased risk of anastomotic stricture, therefore the type of anastomosis should be chosen based on the conditions of the patient.
