The result of the esophageal plastic surgery with stomach tube

ABSTRACT

Background: In surgery for treating esophageal cancer, the esophageal plastic surgery with stomach tube is the operation of choice. However, there was high rate of anastomotic leakage in the esophageal plastic surgery with stomach tube with neck anastomosis. Objectives: to evaluate the result of the esophageal plastic surgery with isoperistaltic stomach tube. Subjectives and Method: a retrospective descriptive study was carried out on 94 patients with esophageal plastic surgery with isoperistaltic gastric tube at Department of Digestive Surgery, Viet Duc Hospital from January 1994 to June 2006. Results: among 94 patients of the study 95 males (96.0%) and 4 women (4.0%). Mean age was 54.2 \ufffd?9.0. 98 cases was esophageal cancer (99%), 1 case of benign esophageal narrow due to scarring burns (1%). 31 cases of esophageal plasties with small stomach tube (31.3%), 68 cases of esophageal plasties with a large stomach tube (68.7%). The end-to-side anastomosis was done 95 times (96%), end-to-end anastomosis was done 4 times (4%). There were four deaths. 7 anastomotic leakage (7.1%), but not fatal. The postoperative complications included 9 cases of respiratory complications (9.1%), 1 case of hypo-diaphragm abces (1%), 7 cases of incision infection (7%). 8 cases of anastomotic narrow (8.4%). 94 patients with normal stomach circulation (98.9%). 88 patients with normal eating (92.6%). Conlussions the esophageal plastic surgery with isoperistaltic gastric tube was a safe method, with low rates of mortality, anastomotic leakage. Most patients with eating backed to normal.