Cervical esophagogastric anastomosis: results following esophagectomy for carcinoma.

Abstract:

:We reviewed our experience with 262 consecutive two-layer, hand-sewn cervical esophageal anastomoses in patients undergoing surgery for esophageal carcinoma. Anastomotic leak rates were determined for the entire group and the frequency of post-operative esophageal dilatations was obtained for the first 101 patients. It was assumed that the frequency of dilatations would reflect the frequency of anastomotic strictures. The overall leak rate was 0.8% (two patients). Overall hospital mortality was 2.7%. No patient died as a result of anastomotic leakage. In our series, 26% of patients required at least one dilatation. If a dilatation was needed, the majority occurred within the first 6 months. We conclude that using a standardized, two-layer hand-sewn anastomotic technique cervical esophageal anastomoses may be performed safely with results similar to those reported using intrathoracic techniques.

journal_name

Dis Esophagus

authors

Heitmiller RF,Fischer A,Liddicoat JR

doi

10.1046/j.1442-2050.1999.00051.x

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

264-9

issue

4

eissn

1120-8694

issn

1442-2050

journal_volume

12

pub_type

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