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[Comparison of the stapled suture with the manual suture in the application of minimally invasive esophagectomy].
Wang, Feng; Liu, Shuoyan; Wang, Jianjian; Chen, Xiaofeng; Zheng, Qingfeng; Wang, Zhen; Xu, Jianjian; Chen, Saiyun.
Affiliation
  • Wang F; Department of Thoracic Surgery, Fujian Provincial Tumor Hospital, Fuzhou 350014, China. shuoyanliu2010@163.com.
Zhonghua Wei Chang Wai Ke Za Zhi ; 17(9): 881-3, 2014 Sep.
Article in Zh | MEDLINE | ID: mdl-25273655
ABSTRACT

OBJECTIVE:

To compare the associated anastomotic complication of cervical esophagogastric anastomosis between stapled and hand-sewn anastomosis in minimally invasive esophagectomy(MIE).

METHODS:

Clinical data of 203 patients with esophageal cancer receiving combined thoracoscopic and laparoscopic esophagectomy with anastomosis in the neck in our hospital from January 2010 to November 2013 were retrospectively analyzed. All the patients were divided into stapled group(104 patients) and hand-sewn group(99 patients). The incidence of anastomotic leakage and anastomotic stricture between these two groups were compared.

RESULTS:

There were no significant differences between two groups in gender, age, body mass index, total protein, albumin, and neoadjuvant chemotherapy(all P>0.05). There was no significant difference between the two groups in the incidence of anastomotic leakage [6/104(5.77%) vs. 3/99(3.03%), P>0.05], while the difference in the incidence of anastomotic stricture was significant [10/104(9.62%) vs. 2/99(2.02%), P<0.05]. The time of anastomosis, dieting and hospital stay was (15.5±5.0) min, (5.0±2.8) d and (18.3±5.9) d in stapled group, which was significantly shorter than (28.0±4.5) min, (5.9±1.2) d and (21.8±4.2) d in hand-sewn group(all P<0.05).

CONCLUSION:

In the minimally invasive esophagectomy, stapled cervical esophagogastric anastomosis is simple and precise, but it is associated with increased risk of anastomotic stricture, therefore the type of anastomosis should be chosen based on the conditions of the patient.
Subject(s)
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Collection: 01-internacional Database: MEDLINE Main subject: Sutures / Esophageal Neoplasms / Esophagectomy / Minimally Invasive Surgical Procedures Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Humans Language: Zh Journal: Zhonghua Wei Chang Wai Ke Za Zhi Journal subject: GASTROENTEROLOGIA Year: 2014 Document type: Article Affiliation country: China
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Collection: 01-internacional Database: MEDLINE Main subject: Sutures / Esophageal Neoplasms / Esophagectomy / Minimally Invasive Surgical Procedures Type of study: Etiology_studies / Observational_studies / Risk_factors_studies Limits: Humans Language: Zh Journal: Zhonghua Wei Chang Wai Ke Za Zhi Journal subject: GASTROENTEROLOGIA Year: 2014 Document type: Article Affiliation country: China