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KMID : 0364019950280111025
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 11 p.1025 ~ p.1031
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Clinical Analysis of Esophagoviscreal Anstomosis
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Abstract
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Thirty patients underwent esophageal resections due to esophageal carcinoma and benign strictures. Esophagovisceral anastomoses were performed by hand suture in 11 patients (Group Ⅰ) and by end to end anastomosis (EEA) stapler in 19 patients
(Group
Ⅱ). Anastomoses were performed in the thoracic cavity in 24 patients (Right 19, Left 5) and in the cervical area in 6 patients. There was one operative mortality (3.3%) in a cancer patient who underwent Ivor-Lewis operation using EEA stapler.
She
expired on POD 38 days due to renal failure and sepsis. There were two anastomotic leakage in the sutured group and no anastomotic leakage in the stapled group. Late anastomotic strictures occurred in 10 patients (52.6%) in the stapled group
compared to
2 patients (18.1%) in the sutured group. Most of the patients with late anastomotic strictures responded to one or two trials of TTS dilations. Using EEA stapler in performing esophagovisceral anastomosis is a safe method with acceptable range of
complication rate, and total admission period after the operation for group Ⅰ was 30.3 days compared to 25.4 days in group Ⅱ although it had no clinical significance. The follow up was possible in 23patients ; 5 patients in group Ⅰ died within
mean
12.6 months and 9 patients in group Ⅱ within mean 14.2 months.
(Korean J Thorac Cardiovasc Surg 1995;28:1025-31)
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