Clinical Analysis Of Processing Method For Gastroesophageal Anastomotic In The Resection Of Esophageal And Esophagogastric Junction Cancer

Objective:To evaluate the necessity of the embedding treatment for anastomotic stoma in the resection of esophageal and cardiac carcinoma. Methods:From March2012to August2013,244patients were treated with the resection of esophageal and cardiac carcinoma at the thoracic department, the first affiliated hospital of Xinjiang Medical University, patients in control group (n=166) underwent surgery with embedding treatment for anastomotic stoma and simple anastomosis treatment in experimental group (n=78). Postoperative parameters were compared. Results:The anastomotic leakage rates were1.28%(1/78) in the experimental group and5.42%(9/166) in the control group (P=0.24); the anastomotic diameter was13.23±2.93mm in the experimental group and10.91±2.80mm in the control group (.P=0.00); the anastomotic stricture rates were5.26%(4/76) in the experimental group and17.42%(27/155) in the control group (P=0.01); the dysphagia score in the experimental group was lower than that in the control group (P=0.02); the reflux score between the two groups:no statistically significant difference (P=0.50). Conclusion:The embedding treatment for gastroesophageal anastomotic stoma has no practical significance to prevent the formation of the anastomotic leakage> cannot effectively prevent the reflux esophagitis and increase the incidence of the anastomotic stricture.