Mid-term Outcomes of Side-to-Side Stapled Anastomosis in Cervical Esophagogastrostomy.
10.3346/jkms.2006.21.6.1033
- Author:
Won Min JO
1
;
Jae Seung SHIN
;
In Sung LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University School of Medicine, Seoul, Korea. jowonmin@korea.ac.kr
- Publication Type:Original Article ; Clinical Trial
- Keywords:
Esophageal Neoplasms;
Carcinoma, Squamous Cell;
Side-to-Side Stapled Anastomosis;
Anastomosis, Surgical;
Suture Techniques
- MeSH:
Treatment Outcome;
Sutures;
Surgical Stapling/*methods;
Outcome Assessment (Health Care);
Middle Aged;
Male;
Humans;
Gastrostomy/*methods;
Female;
Esophagostomy/instrumentation/*methods;
Esophageal Neoplasms/*surgery;
Carcinoma, Squamous Cell/*surgery;
Anastomosis, Surgical/instrumentation/*methods;
Aged
- From:Journal of Korean Medical Science
2006;21(6):1033-1036
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was conducted to evaluate the mid-term results of cervical esophagogastric anastomosis using a side-to-side stapled anastomosis method for treatment of patients with malignant esophageal disease. A total of 13 patients were reviewed retrospectively from January 2001 to November 2005 who underwent total esophagectomy through a right thoracotomy, gastric tube formation through a midline laparotomy and finally a cervical esophagogastric anastomosis. Average patient age was 62.6 yr old and the male to female ratio was 11:2. The mean anastomosis time was measured to be about 32.5 min; all patients were followed for about 22.8+/-9.9 months postoperatively. There were no early or late mortalities. There were no complications of anastomosis site leakage or conduit necrosis. A mild anastomotic stricture was noted in one patient, and required two endoscopic bougination procedures at postoperative 4th month. Construction of a cervical esophagogastric anastomosis by side-to-side stapled anastomosis is relatively easy to apply and can be performed in a timely manner. Follow up outcomes are very good. We, therefore, suggest that the side-to-side stapled anastomosis could be used as a safe and effective option for cervical esophagogastric anastomosis.
