Oblique conformal anastomosis decreased the risks of cervical anastomotic leakage after totally minimally invasive esophagectomy

Autor: Jinyang Guo, Yanzhao Xu, Chao Huang, Mingbo Wang, Fan Zhang, Zhao Liu, Zhenhua Li, Huilai Lv, Ziqiang Tian
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Asian Journal of Surgery, Vol 47, Iss 8, Pp 3478-3484 (2024)
Druh dokumentu: article
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2024.03.141
Popis: Objective: To investigate the effectiveness of the original oblique conformal anastomosis presented in this research in reducing the incidence of cervical anastomotic leak after performing totally minimally invasive esophagectomy (TMIE). Methods: The esophagus and stomach of 27 fresh pigs, termed the esophagogastric model, were used to simulate human esophagogastric organs for this study's in vitro experimental objectives. Nine esophagogastric models of similar weight were divided into three groups. Esophagogastrostomy with circular-stapled end-to-side anastomosis was performed. A tension gauge was used to pull the anastomosis, and the tension at which anastomotic leakage occurred was recorded. Furthermore, a retrospective assessment of 539 patients who underwent TMIE was conducted to analyze the influencing factors of cervical anastomotic leakage. Results: Experiments on the esophagogastric models showed a higher fracture strength of oblique conformal anastomosis than that of conventional anastomosis (F2,18 = 40.86, P
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