Advantages And Disadvantages of Cervical Tube-Type Anastomat in Endoscopic Surgery for Esophageal Carcinoma.

ABSTRACT

Objective: This study aims to investigate the use of cervical tube-type anastomat in endoscopic surgery for esophageal carcinoma (EC) by exploring its advantages and disadvantages. The findings contribute to the existing knowledge and provide valuable insights for future EC treatment. Methods: A retrospective analysis was conducted on data collected from 82 patients who underwent endoscopic surgery for EC at The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture between May 2019 and October 2022. Among the patients, 42 underwent anastomosis with a cervical tube-type anastomat (Group A), while the remaining 40 cases received layered anastomosis (Group B). Various parameters were recorded, including operation time (OT), neck bleeding volume, time to first postoperative ambulation, postoperative oral food intake, and hospitalization time. Pain assessment was performed using the Visual Analogue Score (VAS) before (T0) and at 12h (T1), 24h (T2), and 48h (T3) after surgery. Postoperative complications, changes in weight, hemoglobin (Hb), albumin (ALB) levels, and the patient's quality of life assessed by the SF-36 scale were also evaluated. Results: Group A demonstrated significantly lower OT, neck bleeding volume, VAS scores at T1 and T2, and incidence of postoperative complications compared to Group B, leading to faster postoperative rehabilitation (P < .05). However, the two groups had no statistically significant differences regarding postoperative weight, Hb and ALB levels, and SF-36 scores (P > .05). Conclusions: The use of cervical tube-type anastomat in endoscopic surgery for EC can accelerate postoperative rehabilitation without adversely affecting the postoperative nutritional status and quality of life.