Cervical esophagogastrostomy with circular mechanical stapler in the treatment of esophageal carcinoma--report of 346 cases.
- Author:
Shi-Ping GUO
1
;
Hong-Guang ZHANG
;
Yan-Yan MA
;
Chun-Li WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Anastomosis, Surgical; adverse effects; instrumentation; methods; Carcinoma, Squamous Cell; mortality; surgery; Esophageal Fistula; etiology; Esophageal Neoplasms; mortality; surgery; Esophageal Stenosis; etiology; Esophagectomy; adverse effects; methods; Esophagus; pathology; surgery; Female; Humans; Male; Middle Aged; Stomach; pathology; surgery; Surgical Staplers; Survival Analysis; Survival Rate; Treatment Outcome
- From: Chinese Journal of Oncology 2007;29(2):151-153
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy of esophagogastrostomy in the neck using circular mechanical stapler through the esophageal bed.
METHODSFrom March 1998 to June 2004 subtotal esophagectomy and mechanical anastomosis with stomach in the neck through the esophageal bed was carried out in 346 esophageal cancer patients.
RESULTSIn this series, the positive rate of detecting residual cancer cells in the esophageal stump was 1.2% (4/346); anastomotic fistula was observed in 5.5% (19/346) causing one patient died; the overall operative mortality rate was 0.6% (2/346); esophageal anastomotic stricture developed in 3.8% (13/346), which were cured by endoscopic dilatation.
CONCLUSIONThis modified operation mode has low rate of complication, reducing impairement to pulmonary function due to the transposed thoracic stomach within the mediastinum instead of the thoracic cavity. Using mechanical circular stapler for anastomosis in the neck simplifies the operation and reducing the postoperative risk caused by anastomotic leak.
