End to End Hand Sewn Cervical Esophago Gastric Anastomosis Versus Semi Mechanical Stapled Anastomosis in Patients Undergoing Esophagectomy - A Retrospective Comparative Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 10
Abstract
Introduction: The Anastomotic leak is one of the main cause of morbidity following esophageal resection for carcinoma of the esophagus. We compared end to end hand sewn anastomotic technique with side to side stapled anastomotic technique in terms of anastomotic leak. Material and methods: It was a retrospective study comparing fifty patients with esophageal cancer who underwent Transhiatal esophagectomy (THE) with cervical esophagogastric anastomosis (CEGA) at a single academic center for the period from 2013 to 2016. Results: Out of fifty patients analyzed, twenty-five underwent end to end hand-sewn anastomosis and another twenty-five underwent side to side stapled anastomosis. The anastomotic leak rate was more with side to side technique than the end to end hand-sewn anastomosis (P-value 0.042). Other parameters like blood loss, hospital stay, and age were comparable except surgery duration which was more with side to side stapled technique. The anastomotic stricture was more with side to side stapled group, but it was statistically not significant. Conclusion: End to end hand-sewn anastomosis is more effective than side to side stapled anastomosis. Anastomotic leak is more in the side to side stapled group if we use narrow tip gastric conduit.
Authors and Affiliations
Benet Duraisamy, S. Ravikumar, S. M. Chandramohan, Heber Anandan
Keywords
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