Application of digestive tract anastomotic device in super-cupula pleurae anastomosis of the esophagus and stomach.
OBJECTIVE
To evaluate the clinical value of mechanical anastomosis in super-cupula pleurae anastomosis (using mechanical anastomosis connecting esophagus and stomach above the diaphragm) of the esophagus and stomach within the thoracic cavity.


METHODS
A total of 98 cases of esophageal carcinoma were treated surgically by super-cupula pleurae anastomosis of the esophagus and stomach by anastomotic tube.


RESULTS
All anastomoses were completed in single attempt without mortality among the patients, who did not show signs of fistula of anastomosis or injury to recurrent laryngeal nerve and ductus thoracicus. The incidence of anastomosis stricture was 2.04 %(2/98), with tumor remnant rate of the resected end of 1.02 % (1/98).


CONCLUSIONS
Mechanical esophagus and stomach anastomosis of super-cupula pleurae in the thoracic cavity can expand the scope eligible for resection in esophageal carcinoma, resembling neck anastomosis that is simple, quick, dependable and safe.
Yu
Xing-Huo
XH
Department of Cardio-thoracic Surgery, Second People's Hospital of Xinxiang, Xinxiang 453002, China.
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013270:Stomach