Abstract:

Objective To evaluate the efficacy of cervical esophagogastric side-to-side stapled anastomosis in minimally invasive resection

of esophageal carcinoma. Methods We retrospectively analyzed the clinical data of 110 patients with esophageal carcinoma underwent completely minimally invasive esophagectomy and left cervical esophagogastromy from March 2014 to March 2015. Sixty-five patients underwent cervical esophagogastromy using circular stapler as control group，and the rest 45 patients were treated by cervical esophagogastric side-to-side stapled anastomosis as experimental group. The anastomosis time，postoperative anastomotic leakage，anastomotic stricture and gastroesophageal reflux were compared between the two groups. Results All the patients underwent minimally invasive resection，and no death happened during perioperative period. The time of anastomosis in experiment group was（16.1±2.5）min，shorter than（27.5±1.9） min of control group（P=0.000）. The incidence of anastomotic leakage and gastroesophageal reflux 6 months after operation had no significant difference（P＞0.05）. The incidence of anastomotic stricture 6 months after operation in experimental group was 4.4％，lower than 24.6％ of control group（P=0.005）. Conclusion The technique of cervical esophagogastric side-to-side stapled anastomosis can shorten the anastomosis time and reduce the incidence of anastomotic stricture 6 months after operation，and have no tendency to increase anastomotic leakage and gastroesophageal reflux 6 months after operation. It is a satisfactory technique for the treatment of esophageal carcinoma.