Tubular stomach versus whole stomach for esophagectomy through cervico-thoraco-abdominal approach: a comparative clinical study of anastomotic leakage

VernacularTitle:管状胃与全胃代食管在食管癌切除术颈部吻合中吻合口瘘发生率的对比观察
Author: Chao SUN ; Weiping SHI ; Yusheng SHU ; Hongcan SHI ; Shichun LU ; Kang WANG
Publication Type:Journal Article
Keywords: Thoracic surgery,side effects; Esophageal cancer
From: Chinese Journal of General Practitioners 2012;(12):923-925
CountryChina
Language:Chinese
Abstract: A total of 850 patients undergoing the 3-field esophagectomy were retrospectively recruited and divided into tubular stomach reconstruction group (n =453) and whole stomach reconstruction group (n =397).They underwent esophagectomy through right thorax,left cervical part,abdominal triple incisions and esophageal reconstruction by hand-sewn two-layer anastomosis.In comparison with whole stomach,esophageal reconstruction with tubular stomach had a lower incidence of anastomotic leakage,less manifestation of intrathoracic syndrome and less occurrence of reflux esophagitis (P ＜ 0.05).However,the incidence of anastomotic stricture showed no significant difference between two groups (P ＞ 0.05).It suggests that,for esophageal cancer patients undergoing the 3-field esophagectomy,tubular stomach is better than whole stomach for esophageal reconstruction as reflected by reduced occurrences of postoperative anastomotic leakage,intrathoracic syndrome and reflux esophagitis.