Three methods of anastomosis in esophagojejunostomy of laparoscopic trans-hiatal extended gastrectomy for typeii,iii esophago-gastric junction cancer

摘要

Introduction To explore the feasibility and safety of 3 different anastomosis methods used in laparoscopic extended gastrostomy through the trans-hiatal approach in patients with esophagogastric junction cancer.Materials and Methods, From Feb 2008 to Dec 2010,30 cases esophagogastric junction cancer underwent laparoscopic trans-hiatal extended gastrectomy at the first hospital of Jilin University. We used three methods for esophagojejunostomy ,using circular stapler and linear stapler.Results In 30 cases, Overlap method was performed in 12 cases, FEEA was in 5 cases and Circular stapler was in 13 cases. average time for anastomosis in overlap method was 36 min, FEEA was 25 min and circular stapler was 39 min. The anasto-motic leakage was happened in 2 of cases ,and was curved without re-operation .Conclusion 3 procedures of the esophagojejunostomy are feasible and safe for patients with esophagogastric junction