Scarf-liking esophagojejunal anastomosis after total gastrectomy for advanced gastric carcinoma
10.3760/cma.j.issn.1673-4904.2009.18.004
- VernacularTitle:全胃切除围巾式食管-空肠吻合术在进展期胃癌中的应用
- Author:
Dehong SONG
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Esophagitis
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(18):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present the experience with scarf-liking esophagojejunal anastomosis to decrease the anastomotic leak. Methods An analysis of the clinical outcome of 86 consecutive patients from January 2000 to October 2008 who underwent scarf-liking esophagojejunal anastomosis after total gastrectomy for advanced gastric carcinoma. Results Two of these patients died, the operative mortality rate was 2.3%. Eighty-four survivals were followed up for 2-95(44±3) months. None of the survivals developed anastomotic leak and reflux esophagitis. Anastomotic strictures occurred in 4 patients (4.8%) treated before December 2004, and transgastroscopy dilatation was effective treatment. There was no anastomotic stricture developed after surgical technology improved. Conclusion The new scarf-liking esophagojejunal anastomosis has more advantages to reduce anastomotic complications and total gastrectomy for advanced gastric carcinoma, is safe and effective.
