Jo Won-Min, Shin Jae Seung, Lee In Sung
Department of Thoracic and Cardiovascular Surgery, Ansan Hospital, Korea University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2006 Dec;21(6):1033-6. doi: 10.3346/jkms.2006.21.6.1033.
This study was conducted to evaluate the mid-term results of cervical esophagogastric anastomosis using a side-to-side stapled anastomosis method for treatment of patients with malignant esophageal disease. A total of 13 patients were reviewed retrospectively from January 2001 to November 2005 who underwent total esophagectomy through a right thoracotomy, gastric tube formation through a midline laparotomy and finally a cervical esophagogastric anastomosis. Average patient age was 62.6 yr old and the male to female ratio was 11:2. The mean anastomosis time was measured to be about 32.5 min; all patients were followed for about 22.8+/-9.9 months postoperatively. There were no early or late mortalities. There were no complications of anastomosis site leakage or conduit necrosis. A mild anastomotic stricture was noted in one patient, and required two endoscopic bougination procedures at postoperative 4th month. Construction of a cervical esophagogastric anastomosis by side-to-side stapled anastomosis is relatively easy to apply and can be performed in a timely manner. Follow up outcomes are very good. We, therefore, suggest that the side-to-side stapled anastomosis could be used as a safe and effective option for cervical esophagogastric anastomosis.
本研究旨在评估采用侧侧吻合器吻合术行颈段食管胃吻合术治疗食管恶性疾病患者的中期结果。回顾性分析了2001年1月至2005年11月期间共13例患者，这些患者均接受了经右胸切口全食管切除术、经正中剖腹切口胃管成形术，最终行颈段食管胃吻合术。患者平均年龄62.6岁，男女比例为11:2。测得平均吻合时间约为32.5分钟；所有患者术后随访约22.8±9.9个月。无早期或晚期死亡病例。无吻合口漏或管道坏死并发症。1例患者出现轻度吻合口狭窄，术后第4个月需行两次内镜下扩张术。采用侧侧吻合器吻合术构建颈段食管胃吻合术应用相对简便，且可及时完成。随访结果良好。因此，我们建议侧侧吻合器吻合术可作为颈段食管胃吻合术的一种安全有效的选择。
