Application of cervical triangulating stapled anastomosis in minimally invasive esophagectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 869-871, 2014.
Article
in Zh
| WPRIM
| ID: wpr-254400
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the safety and feasibility of cervical triangulating stapled anastomosis(TSA) for esophagogastric anastomosis(EGA) after minimally invasive esophagectomy (MIE).</p><p><b>METHODS</b>Clinical data of 137 patients undergoing MIE for esophageal cancer(EC) in our department from January 2013 to March 2014 using end to side circular stapled anastomosis (CSA, 60 cases) or end-to-end triangulating stapled anastomosis (TSA, 77 cases) in the neck were retrospectively analyzed. The short-term outcomes between the two groups were evaluated and compared.</p><p><b>RESULTS</b>Cervical anastomotic leakage occurred in 3 patients(3.9%) of TSA group, but in six(10.0%) of CSA group (P=0.152). The incidence of anastomotic stenosis was 1.3%(1/77) and 15.0%(9/60) in TSA and CSA group respectively(P=0.002). The median hospital stay and perioperative mortality were not significantly different between the two groups as well as postoperative respiratory and cardiovascular complications.</p><p><b>CONCLUSIONS</b>TSA is a safely and effectively alternative method for EGA with lower incidence of postoperative gastrointestinal complications, especially in anastomotic stricture.</p>
Full text:
1
Database:
WPRIM
Main subject:
Postoperative Complications
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General Surgery
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Esophageal Neoplasms
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Anastomosis, Surgical
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Retrospective Studies
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Treatment Outcome
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Esophagectomy
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Minimally Invasive Surgical Procedures
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Methods
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Neck
Type of study:
Observational_studies
Limits:
Humans
Language:
Zh
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2014
Document type:
Article