You Y, Mo L, Chen N, He DP, Feng YG. Mechanical anastomosis after surgical removal of esophageal carcinoma: an analysis of 231 cases.
Shijie Huaren Xiaohua Zazhi 2012;
20:152-154. [DOI:
10.11569/wcjd.v20.i2.152]
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Abstract
AIM: To evaluate the clinical value of mechanical anastomosis after surgical removal of esophageal carcinoma.
METHODS: The clinical data for 231 patients who underwent surgical resection of middle and inferior esophageal carcinoma located in the middle and inferior segments and received esophagogastric anastomosis using a domestic WH-Y gastrointestinal stapler from January 2005 to November 2009 were retrospectively analyzed.
RESULTS: Of 231 cases, the incidence of anastomotic fistula was 1.30% (3/231). One patient developed anastomotic fistula on postoperative day 4 and died, and two patients developed anastomotic fistula on postoperative day 10 and were cured after medical conservative treatment. The incidence of anastomotic constriction was 2.16% (3/231) after 4 weeks, and all cases were cured after endoscopic balloon dilation. The mean operation time, average bleeding volume and mean postoperative hospital stay were 160 min, 500 mL and 15 d, respectively. A total of 207 patients were followed up, and the 1-, 3- and 5-year survival rates were 53.1%, 27.5% and 18.4%, respectively.
CONCLUSION: Intrathoracic esophagogastric end-to-side anastomosis using a stapler is reliable in the management of patients after surgical removal of esophageal carcinoma.
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