Objective To investigate the clinical effect of cervical esophagogastric side-to-side T-type anastomosis in combined thoraco-laparoscopic radical resection of esophageal carcinoma.
Methods Sixty-six patients who underwent combined thoraco-laparoscopic radical resection of esophageal carcinoma were selected and divided into observation group(30 cases) and control group(36 cases) according to the cervical anastomosis method.The observation group was treated with T-type side-to-side anastomosis, and the control group was treated with cervical tubular anastomosis.The intraoperative cervical anastomosis time, blood loss during operation, anastomotic leakage at 1 month after operation, anastomotic stenosis and esophagogastric reflux at 6 months after operation were compared between the two groups.
Results There was no death in the two groups during the perioperative period.The anastomosis time and the incidence of anastomotic stenosis in observation group were significantly lower than those in control group(P < 0.01).There was no significant difference in the blood loss during operation, and incidence of anastomotic leakage at 1 month after operation and esophagogastric reflux at 6 months after operation between the two groups(P>0.05).
Conclusions The application of cervical esophagogastric side-to-side T-type anastomosis in combined thoraco-laparoscopic radical resection of esophageal carcinoma can effectively shorten the operation time and reduce the incidence of anastomotic stenosis, which is worthy of clinical promotion.
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