Comparison of monolayer wide-edge continuous suture anastomosis with regular interrupted suture anastomosis at esophagogastrostomy for esophageal cancer / 中华肿瘤杂志

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the monolayer wide-edge continuous suture anastomosis in order to explore the method to prevent or reduce the frequency of anastomotic fistula and stenosis.</p><p><b>METHODS</b>936 esophageal cancer patients were divided into two groups 468 by monolayer wide-edge continuous suture anastomosis with absorbable suture at esophagogastrostomy; while the other 468 by regular interrupted suture anastomosis with silk thread as control. The complication such as anastomotic fistula and stenosis in two groups were compared.</p><p><b>RESULTS</b>In the group treated by monolayer wide-edge continuous suture anastomosis, there were 1 fistula (0.2%) and 1 stenosis (0.2%) versus 8 fistula (1.9%) and 11 stenosis (2.4%) in the control group. There was a statistically significant difference between two guoups was observed (P < 0.05).</p><p><b>CONCLUSION</b>Monolayer wide-edge continuous suture anastomosis at esophagogastrostomy for esophageal cancer patient may effectively prevent or reduce the frequency of anastomotic fistula and stenosis.</p>