Department of Thoracic Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Department of Clinical Medicine, The Second Clinical School of Dalian Medical University, Dalian, China.
J Surg Oncol. 2021 Dec;124(7):1031-1039. doi: 10.1002/jso.26622. Epub 2021 Jul 26.
Minimally invasive McKeown esophagectomy (MIE McKeown) with cervical anastomosis is a widely used approach for the treatment of esophageal cancer (EC). Anastomotic leak is one of the most serious complications following esophagectomy. This study aimed to summarize the anastomosis procedure and assess the clinical outcomes of our modified layered hand-sewn cervical end-to-side anastomosis for cervical anastomosis during MIE McKeown.
We retrospectively reviewed clinical data of 508 consecutive EC patients who underwent MIE McKeown using the modified layered hand-sewn cervical end-to-side anastomosis between June 2016 and June 2020.
The incidence of anastomotic leakage in our cohort was 2.0%. The postoperative stricture rate was 6.9% and the incidence of other postoperative complications was less than 9.3%. The mean time for setting up MIE McKeown was approximately 211.0 min and the average duration of postoperative hospital stay was 9.1 days.
This modified layered hand-sewn cervical end-to-side anastomosis is a safe and effective method for MIE McKeown with a low incidence of anastomotic leakage, anastomotic stricture, or other postoperative complications.
微创 McKeown 食管切除术（MIE McKeown）联合颈部吻合术是治疗食管癌（EC）的常用方法。吻合口漏是食管切除术后最严重的并发症之一。本研究旨在总结吻合术步骤，并评估改良分层手工颈部端侧吻合术在 MIE McKeown 中用于颈部吻合的临床效果。
我们回顾性分析了 2016 年 6 月至 2020 年 6 月期间，508 例连续接受 MIE McKeown 手术且采用改良分层手工颈部端侧吻合术的 EC 患者的临床资料。
本队列中吻合口漏的发生率为 2.0%。术后狭窄发生率为 6.9%，其他术后并发症的发生率低于 9.3%。MIE McKeown 的平均建立时间约为 211.0 分钟，术后平均住院时间为 9.1 天。
改良分层手工颈部端侧吻合术是一种安全有效的 MIE McKeown 手术方法，吻合口漏、吻合口狭窄或其他术后并发症的发生率较低。
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