End-to-End Versus End-to-Side Hand-Sewn Anastomosis for Minimally Invasive McKeown Esophagectomy
| Autor: | Yang Hu, Yu-Shang Yang, Yongfan Zhao, Guowei Che, Chengyi Mao, Yong Yuan, Long-Qi Chen, Wei-Peng Hu |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Esophageal Neoplasms Anastomotic Leak 030230 surgery Anastomosis 03 medical and health sciences 0302 clinical medicine Hand sewn anastomosis Invasive esophagectomy Surgical Stapling Medicine Humans Minimally Invasive Surgical Procedures Retrospective Studies Gastric Dilation business.industry Anastomosis Surgical Reflux Retrospective cohort study Middle Aged Prognosis Surgery Esophagectomy Oncology 030220 oncology & carcinogenesis Female business McKeown esophagectomy End to side anastomosis Follow-Up Studies |
| Zdroj: | Annals of surgical oncology. 26(12) |
| ISSN: | 1534-4681 |
| Popis: | Standard anastomotic configuration for esophagogastric anastomosis is not conclusive. This study aimed to compare the short-term outcomes of end-to-end (ETE) cervical double-layer hand-sewn anastomoses with those of end-to-side (ETS) anastomoses for minimally invasive McKeown esophagectomy. Between January 2016 and December 2017, the clinical data of 252 consecutive patients who underwent minimally invasive esophagectomy were reviewed retrospectively. The 252 patients comprised 130 patients in the ETS group and 122 patients in the ETE group. The same surgical procedures were applied in both groups, except for esophagogastric reconstruction. Short-term outcomes including leakage, stricture, reflux, operative features, and other surgical complications were analyzed for a comparison of the two configurations. The ETS and ETE groups did not differ significantly in terms of leakage rate (P = 0.34), anastomotic stricture rate (P = 0.70), or postoperative reflux (P = 0.66). However, the ETS group had a longer operation time (P = 0.011), a longer anastomosis time (P |
| Databáze: | OpenAIRE |
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