Clinical analysis and application of side to side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma

Abstract:

Objective:To evaluate the safety and feasibility of applying side-to-side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma.Methods:The clinical data of 52 patients underwent esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma and side-to-side esophagogastric anastomosis from March 2011 to September 2011 were analyzed retrospectively.Results:The side to side esophagogastric anastomosis was successfully performed in 52 patients.The operative time was 180 ~ 435 minutes with an average of 264 minutes and the average anastomosis time was 23 minutes.The intraoperative blood loss was 50~450 ml with an average of 120 ml.No case of postoperative death and short-term anastomotic stenosis was observed but four cases of anastomotic fistula were occurred postoperatively.Conclusion:The application of side-to-side esophagogastric anastomosis in esophagectomy with thoracoscopy and laparoscopy for esophageal carcinoma is a safe and feasibl.