The application of tubular stomach reconstruction in esophagectomy

Objective: To explore the application of tubular stomach reconstruction in esophagectomy. Methods: Eighty patients with esophageal carcinoma were devided into tubular stomach group and full stomach group according to different operation Methods( 40 cases each group) . The tubular stomach and whole stomach group were treated with tubular gastroesophagostomy and traditional whole gastroesophagostomy，respectively. The incidence of postoperative pulmonary complications，anastomotic fistula，thoracic stomach syndrome and reflux esophagitis in two groups were observed. Results: No death was found in two groups. The incidence of postoperative pulmonary complications， reflux esophagitis， thoracic stomach syndrome and anastomotic fistula in tubular stomach group and whole stomach group were 17. 5% ＆ 40. 0%，32. 5% ＆ 65. 0%，12. 5% ＆ 32. 5% and 0% ＆ 2. 5%， respectively. The incidence of postoperative thoracic stomach syndrome，pulmonary complications and reflux esophagitis in tubular stomach group were less than those in whole stomach group( P ＜ 0. 05 to P ＜ 0. 01) . The difference of the incidence of anastomotic fistula between two groups was not statistically significant( P ＞ 0. 05) . Conclusions: The tubular stomach reconstruction in esophagectomy is simple and safe，which can improve gastroesophageal reflux， reduce the incidence of adverse gastric emptying and improve postoperative quality of life of patient.