J Korean Med Sci.  2006 Dec;21(6):1033-1036. 10.3346/jkms.2006.21.6.1033.

Mid-term Outcomes of Side-to-Side Stapled Anastomosis in Cervical Esophagogastrostomy

• Jo WM
• Shin JS
• Lee IS

• KMID: 1713114
• DOI: http://doi.org/10.3346/jkms.2006.21.6.1033

Abstract

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.

Keyword

Esophageal Neoplasms; Carcinoma, Squamous Cell; Side-to-Side Stapled Anastomosis; Anastomosis, Surgical; Suture Techniques

MeSH Terms

Treatment Outcome
Sutures
Surgical Stapling/*methods
Outcome Assessment (Health Care)
Middle Aged
Male
Humans
Gastrostomy/*methods
Female
Esophagostomy/instrumentation/*methods
Esophageal Neoplasms/*surgery
Carcinoma, Squamous Cell/*surgery
Anastomosis, Surgical/instrumentation/*methods
Aged

Figure

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  Fig. 1 Endoscopic findings of CEGA at postoperative 2nd month conducted by stapled anastomosis using Endo-GIA stapler (A) and hand-sewn anastomosis (B).

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