Application of modified uncut tubular stomach in radical resection of esophageal carcinoma

ObjectiveTo investigate the feasibility, safety and short-term clinical effects of the application of modified uncut tubular stomach and traditional cut tubular stomach in radical surgery of esophageal carcinoma.

MethodsThe clinical data of 47 patients treated with radical surgery of esophageal carcinoma were retrospectively analyzed.All patients with esophageal cancer were confirmed by gastroscopy before surgery.The patients were divided into the modified uncut tubular stomach group(24 cases) and traditional cut tubular stomach group(23 cases).The operation time, intraoperative bleeding, length of tubular stomach, material usage, postoperative observation index and short-term follow-up after discharge in two groups were analyzed.

ResultsAll operations were successfully completed, no intraoperative bleeding and other accidents occurred.The operation time, length of tubular stomach and material usage in modified uncut tubular stomach group were less than those in traditional cut tubular stomach group(P < 0.05 to P < 0.01).The differences of the intraoperative hemorrhage, postoperative 2 d thoracic drainage amount, length of hospital stay, incidence rates of complications during perioperative period and short-term follow-up between two groups were not statistically significant(P>0.05).There was no serious complication or death.

ConclusionsThe modified uncut tubular stomach can shorten the operation time and reduce the material usage, and does not increase the anastomotic fistula and stenosis, pulmonary infection, postoperative acid reflux, and chest and stomach dilation.