[Comparison of monolayer wide-edge continuous suture anastomosis with regular interrupted suture anastomosis at esophagogastrostomy for esophageal cancer].

OBJECTIVE

To evaluate the monolayer wide-edge continuous suture anastomosis in order to explore the method to prevent or reduce the frequency of anastomotic fistula and stenosis.

METHODS

936 esophageal cancer patients were divided into two groups: 468 by monolayer wide-edge continuous suture anastomosis with absorbable suture at esophagogastrostomy; while the other 468 by regular interrupted suture anastomosis with silk thread as control. The complication such as anastomotic fistula and stenosis in two groups were compared.

RESULTS

In the group treated by monolayer wide-edge continuous suture anastomosis, there were 1 fistula (0.2%) and 1 stenosis (0.2%) versus 8 fistula (1.9%) and 11 stenosis (2.4%) in the control group. There was a statistically significant difference between two guoups was observed (P < 0.05).

CONCLUSION

Monolayer wide-edge continuous suture anastomosis at esophagogastrostomy for esophageal cancer patient may effectively prevent or reduce the frequency of anastomotic fistula and stenosis.