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Erschienen in: Surgery Today 4/2021

24.09.2020 | Original Article

Comparison of greater curvature and lesser curvature circular-stapled esophagogastrostomy after esophagectomy in patients with esophageal cancer: a prospective randomized controlled trial

verfasst von: Ken Sasaki, Itaru Omoto, Yasuto Uchikado, Hiroshi Okumura, Masahiro Noda, Yusuke Tsuruda, Yoshiaki Kita, Takaaki Arigami, Shinichiro Mori, Hiroshi Kurahara, Akihiro Nakajyo, Chihaya Koriyama, Shoji Natsugoe, Takao Ohtsuka

Erschienen in: Surgery Today | Ausgabe 4/2021

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Abstract

Purpose

Using a circular stapler to create an anastomosis for esophagogastrostomy after esophagectomy is well accepted; however, it remains uncertain if the greater curvature (GC) or lesser curvature (LC) of the gastric conduit is better for the anastomosis. We conducted this prospective study to compare the integrity of esophagogastrostomy between the esophagus and the GC or LC side of the gastric conduit.

Methods

The subjects of this study were 70 patients who underwent esophagectomy and were randomized to a “GC” group and an “LC” group (n = 35 each). The primary and secondary end points were anastomotic leakage (AL) and anastomotic stricture (AS), respectively.

Results

The overall AL rate was 22.1%, without a significant difference between the groups. Stump leakage developed in eight of nine patients in the GC group, whereas leakage developed at the esophagogastric anastomosis in five of six patients in the LC group. The rate of stump leakage was significantly higher than that of esophagogastric AL in the GC group. The overall AS rate was 4.4%, with a significant difference between the groups (0% in the GC group vs. 9.1% in the LC group).

Conclusions

AL rates were comparable in the two groups, but the sites of leakage were significantly different.
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Metadaten
Titel
Comparison of greater curvature and lesser curvature circular-stapled esophagogastrostomy after esophagectomy in patients with esophageal cancer: a prospective randomized controlled trial
verfasst von
Ken Sasaki
Itaru Omoto
Yasuto Uchikado
Hiroshi Okumura
Masahiro Noda
Yusuke Tsuruda
Yoshiaki Kita
Takaaki Arigami
Shinichiro Mori
Hiroshi Kurahara
Akihiro Nakajyo
Chihaya Koriyama
Shoji Natsugoe
Takao Ohtsuka
Publikationsdatum
24.09.2020
Verlag
Springer Singapore
Erschienen in
Surgery Today / Ausgabe 4/2021
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02147-8

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