Comparison Of Modified Triangular Anastomosis With Conventional Circular Anastomosis After Thoracoscopic And Laparoscopic Esophagectomy

Objective:To explore the clinical value of modified cervical triangulating stapled Anastomosis(TSA)for esophagogastric anastomosis(EGA)after Thoracosco-pic and laparoscopic esophagectomyMethod:From April 2016 to October 2017,90 patients with reconstructed gastroesophageal after minimally invasive esophageal cancer surgery at the First Affiliated Hospital of Nanchang University were divided into two groups.Experimental group adopted triangulating anastomosis(n=43),and control group adopted traditional circular anastomosis(n=47).Operation time,anastomotic time,blood loss,discharge time,complications(anastomotic fistula,anastomotic stenosis,pulmonary complications and cardiovascular complications)Result:Two groups' Operation time,anastomotic time,blood loss and discharge time had no significant differences(P > 0.05).The incidence of postoperative anastomotic stenosis(4.65%,4.65%)of Experimental group were significantly lower than those(10.63%,14.89%)of control group(P<0.05)at the 1st and 3rd month after operation.Two groups' anastomotic fistula,pulmonary complications,cardiovascular complications had no significant differences(P>0.05).Conclusion:The modified cervical triangulating anastomosis can significantly reduce anastomotic stricture,no increase the incidence of anastomotic fistula,anastomosis time,blood loss and other complications,it is worthof promoting.