Clinical application of layered anastomosis during esophagogastrostomy.

World Journal of Surgery
Zi-Jiang ZhuYing-Li Kou

Abstract

The aim of this study was to compare the operative results in regard to reducing anastomotic leakage and stricture formation using a newly designed layered manual esophagogastric anastomosis versus a stapler esophagogastrostomy versus the conventional hand-sewn whole-layer anastomosis after resection for esophageal or gastric cardiac carcinoma. From January 2004 to September 2006, a total of 1024 patients with esophageal or gastric cardia carcinoma underwent a layered esophagogastric anastomosis with the assistance of a three-leaf clipper in a single university medical center. The mucosal layers of the esophagus and stomach were sutured continuously with 4/0 Vicryl plus antibacterial suture (polyglyconate). From May 2002 to December 2003, there were also 170 patients and 69 patients who underwent stapler and conventional whole-layer anastomosis, respectively; they served as control groups. The results were analyzed retrospectively. The operative mortality rate was 0.7% in the layered group compared to 5.9% and 7.2% for the stapler group and the whole-layer group (p < 0.01), The anastomotic leakage rates were 0%, 3.5%, and 5.8% for the layered group, stapler group, and whole-layer group, respectively (p < 0.01). All patients wer...Continue Reading

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Citations

Apr 13, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Qi-Rong XuLong-Qi Chen
Oct 19, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Bin LiJian-Bao Yang
Dec 21, 2013·World Journal of Surgery·Yidan LinJunjie Yang
Dec 22, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·K Schwameis, J Zacherl
Apr 20, 2010·Journal of Surgical Oncology·Roger H Kim, Kazuaki Takabe
Jan 21, 2014·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Y YuanL-Q Chen
Dec 31, 2014·World Journal of Surgical Oncology·Juntang GuoChaoyang Liang
May 20, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Q X LiuJ G Dai
Apr 8, 2017·The Annals of Thoracic Surgery·Yidan LinLunxu Liu
Apr 5, 2017·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Y AkiyamaA Sasaki
Jun 2, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M FabbiS S Gisbertz
Jul 18, 2019·Annals of Surgical Oncology·Cheng-Yi MaoLong-Qi Chen
Dec 28, 2010·Interactive Cardiovascular and Thoracic Surgery·Yongshan GaoYongfan Zhao

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