Abstract:

Objective

The objective of this study is to investigate the effectiveness of cervical triangle anastomosis and lateral anastomosis in preventing anastomotic complications after total thoracoscopic and laparoscopic esophagectomy .

Methods

Retrospective analysis was performed on 120 cases of esophageal cancer patients who underwent combined thoracoscopic and laparoscopic esophagectomy and cervical esophagogastric anastomosis in Fenyang Hospital from October 2015 to October 2017 .Among the 120 cases ,65 cases were treated with triangular anastomosis while 55 cases were treated with lateral anastomosis . The incidences of anastomotic fistula ,anastomotic stricture and reflux esophagitis were compared between the two groups .

Results

The incidences of anastomotic fistula ,stenosis and reflux esophagitis in the triangle anastomosis group was 0 ,3 .1% and 30 .8%respectively ,while the data was 3 .6% ,5 .5% and 10 .9% respectively in the lateral anastomosis group .Compared with the two groups , the incidence of postoperative reflux esophagitis was statistically significant different( P＜0 .05) ,whereas the incidences of anastomotic fistula and anastomosis stenosis was not ( P＞0 .05) .

Conclusions

Triangle anastomosis and lateral anastomosis both result in low incidences of postoperative anastomotic fistula and anastomosis stenosis ,while the postoperative incidence of reflux esophagus is ever lower after lateral anastomosis .

Key words: Triangle anastomosis, Lateral anastomosis, Anastomotic fistula, Anastomotic stenosis, Reflux esophagitis