Mechanical triangular esophagogastrostomy: Technical aspects and initial results.

Autor: Vivas López A; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España. Electronic address: alfredovivas7@gmail.com., Rodríguez Cuellar E; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., García Picazo A; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., Narváez Chávez C; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., Gómez Rodríguez P; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., Ortiz Aguilar M; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., Pérez Zapata A; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España., Ferrero Herrero E; Servicio de Cirugía General y del Aparato Digestivo, Hospital 12 de Octubre, Madrid, España.
Jazyk: English; Spanish; Castilian
Zdroj: Cirugia espanola [Cir Esp (Engl Ed)] 2021 Feb 23. Date of Electronic Publication: 2021 Feb 23.
DOI: 10.1016/j.ciresp.2021.01.010
Abstrakt: Introduction: Esophageal cancer represents the eighth neoplasm worldwide. The therapeutic approach is interdisciplinary, with surgery being the most effective option. Several techniques have been proposed to perform esophagogastrostomy after esophagectomy, among them mechanical triangular esophagogastrostomy, with a little experience published in the Western literature on the latter. The objective of this study is to describe the technical aspects and initial results of triangular esophagogastrostomy anastomosis.
Methods: A retrospective review of the patients who underwent esophagectomy according to the McKeown technique was performed, those in which triangular esophagogastrostomy anastomosis was implemented, between October 2017 and March 2020 in our hospital.
Results: A total of 14 patients were included, with a mean age of 63 years. The mean operative time was 436minutes (360-581), being diagnosed of anastomotic leak 3 of the 14 patients (21.4%), as well as 3 patients presented anastomotic stenosis. The median stay was 20 days, without any death in the series.
Conclusions: Multiple publications suggest the superiority in terms of anastomotic leak and anastomotic stenosis of the mechanical triangular anastomosis, which was also observed in our series, in which despite the small sample, a rapid improvement was observed in the indicators after the first cases. Therefore, this type of anastomosis may be a safe option for performing esophagogastric anastomosis after esophagectomy, being necessary more definitive conclusive studies.
(Copyright © 2021 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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