Correlation between anastomotic angle and postoperative anastomotic stricture in the surgery of esophageal carcionma: A randomized controlled trial
10.7507/1007-4848.201612061
- VernacularTitle:食管胃吻合角度与吻合口良性狭窄相关性的随机对照试验
- Author:
XIONG Jian
1
;
ZHENG Chunhui
2
;
XU Yongdong
2
,
3
Author Information
1. Department of Thoracic Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, 201399, P.R.China
2. Department of Thoracic Surgery, Lishui Central Hospital, Lishui Hospital Affiliated to Zhejiang University, Lishui, 323000, Zhejiang, P.R.China
3. Department of Thoracic Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, 201399, P.R.China;
- Publication Type:Journal Article
- Keywords:
Esophageal carcinoma;
anastomotic angle;
anastomotic stricture
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2017;24(12):947-951
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation between end-to-side anastomotic angle and postoperative anastomotic stricture in the surgery of esophageal carcinoma. Methods From January 2011 to June 2015, 130 patients with middle/lower esophageal carcinoma or gastric cardia cancer underwent operations in Shanghai Pudong Hospital and Lishui Central Hospital, Zhejiang Province. Depending on the end-to-side anastomotic angle, they were randomly divided into two groups (n=65 in each): a 0 degree group (49 males and 16 females, aged 64.5±8.3 years) and a 45 degrees group (52 males, 13 females, aged 61.7±9.1 years). Stooler degree grading was adopted to evaluate the anastomotic stricture in each group 6 months postoperatively. Results There were two patients with anastomotic fistula in each group (P>0.05). Pathology showed squamous carcinoma in 116 patients and adenocarcinoma in 14 patients. The postoperative esophageal stricture in the 45 degrees group was significantly less than that in the 0 degree group. There was no statistical difference in the duration of chest tube (5.9±6.7 d vs. 5.8±6.8 d) and recovery of intestinal peristalsis (2.6±0.8 d vs. 2.6±0.7 d) between the 45 degrees group and the 0 degree group. Conclusion Esophagogastric anastomotic angle is related to the formation of postoperative anastomotic stricture. Oblique anastomosis with 45 degrees is helpful to decrease the severity of stricture.
