Comparative Study of Circular End-to-side Anastomosis and T-shaped Side-to-side Anastomosis in Thoracoscopic and Laparoscopic Combined with Esophageal Cancer Radical Surgery
Objective:To explore the effect of circular end-to-side anastomosis and T-shaped side-to-side anastomosis in thoracoscopic and laparoscopic combined with esophageal cancer radical surgery.Method:The clinical data of 104 patients with esophageal cancer who treated in the Department of Thoracic Surgery of Putian First Hospital from June 2018 to June 2023 were retrospectively analyzed,the patients were divided into the T-shaped side-to-side anastomosis group(n=54)and the circular end-to-side anastomosis group(n=50)according to the cervical anastomosis method,two groups were underwent thoracoscopic and laparoscopic combined with esophageal cancer radical surgery.The intraoperative conditions,anastomotic complications and lung-related complications were compared between two groups.Result:The anastomosis time and intraoperative blood loss in the T-shaped side-to-side anastomosis group were better than those in the circular end-to-side anastomosis group,and the differences were statistically significant(P＜0.05).There were no significant differences in the incidence of anastomotic leakage and gastroesophageal reflux between two groups(P＞0.05);the incidence of anastomotic stenosis in the T-shaped side-to-side anastomosis group was lower than that in the circular end-to-side anastomosis group,and the difference was statistically significant(P＜0.05).The incidence of atelectasis,pulmonary infection and pleural effusion in the T-shaped side-to-side anastomosis group were lower than those in the circular end-to-side anastomosis group,and the differences were statistically significant(P＜0.05).Conclusion:Compared with traditional circular end-to-side anastomosis,T-shaped side-to-side anastomosis can effectively shorten the anastomosis time,reduce intraoperative blood loss,and reduce the incidence of anastomotic stenosis and lung-related complications in thoracoscopic and laparoscopic combined with esophageal cancer radical surgery.
Thoracoscopic and laparoscopic surgeryEsophageal cancer radical surgeryT-shaped side-to-side anastomosisCircular end-to-side anastomosis
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