Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction

Yun Huang; Gang Liu; Yan Zhang; Zhanwei Zhao; Kunqiu Yang; Zhen Cao; Jianjun Li; Chaojun Zhang

doi:10.5114/wiitm.2023.124670

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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General surgery

abstract:

Original paper

Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction

Yun Huang

^{1, 2}

,

Gang Liu

²

,

Yan Zhang

²

,

Zhanwei Zhao

²

,

Kunqiu Yang

²

,

Zhen Cao

²

,

Jianjun Li

²

,

Chaojun Zhang

^{1, 2}

Chinese PLA Medical College, Beijing, China
General Surgery, Sixth Medical Center, PLA General Hospital, Beijing, China

Videosurgery Miniinv 2023; 18 (2): 272–278

DOI: https://doi.org/10.5114/wiitm.2023.124670

Online publish date: 2022/12/31

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AMA

Huang Y, Liu G, Zhang Y, et al. Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction. Videosurgery and Other Miniinvasive Techniques. 2023;18(2):272-278. doi:10.5114/wiitm.2023.124670.

APA

Huang, Y., Liu, G., Zhang, Y., Zhao, Z., Yang, K.,  & Cao, Z. et al. (2023). Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction. Videosurgery and Other Miniinvasive Techniques, 18(2), 272-278. https://doi.org/10.5114/wiitm.2023.124670

Chicago

Huang, Yun, Gang Liu, Yan Zhang, Zhanwei Zhao, Kunqiu Yang, Zhen Cao,  and Jianjun Li et al. 2023. "Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction". Videosurgery and Other Miniinvasive Techniques 18 (2): 272-278. doi:10.5114/wiitm.2023.124670.

Harvard

Huang, Y., Liu, G., Zhang, Y., Zhao, Z., Yang, K., Cao, Z., Li, J.,  and Zhang, C. (2023). Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction. Videosurgery and Other Miniinvasive Techniques, 18(2), pp.272-278. https://doi.org/10.5114/wiitm.2023.124670

MLA

Huang, Yun et al. "Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction." Videosurgery and Other Miniinvasive Techniques, vol. 18, no. 2, 2023, pp. 272-278. doi:10.5114/wiitm.2023.124670.

Vancouver

Huang Y, Liu G, Zhang Y, Zhao Z, Yang K, Cao Z et al. Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction. Videosurgery and Other Miniinvasive Techniques. 2023;18(2):272-278. doi:10.5114/wiitm.2023.124670.

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Introduction
The most common intrathoracic anastomosis techniques for Siewert type II adenocarcinoma of the esophagogastric junction (AEG) are the overlap and transorally inserted anvil (OrVil) methods. However, the criteria for choosing between these two methods require further study.

Aim
This retrospective study aimed to compare the efficacy and safety of overlap versus OrVil anastomosis in transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction.

Material and methods
A total of 34 patients with Siewert type II AEG who underwent transabdominal radical surgery and intrathoracic anastomosis with the overlap or OrVil methods at our center from January 2018 to June 2019 were retrospectively analyzed. The relevant surgical and postoperative complication data of the two groups were collected and analyzed.

Results
Clinical characteristics: the mean tumor size was 7.5 ±2.4 cm in the OrVil group and 4.3 ±1.9 cm in the overlap group (p < 0.05). Surgery: the distance from the upper resection margin of the esophagus to the tumor was 3.2 ±0.84 cm in the OrVil group and 2.4 ±0.6 cm in the overlap group (p < 0.05). Postoperative complications: there were two cases of pleural effusion in the OrVil group and 18 cases of pleural effusion in the overlap group (p < 0.05).

Conclusions
There is no significant difference between the OrVil and overlap anastomosis in terms of the feasibility and safety; however, OrVil anastomosis can provide a higher margin of resection of the esophagus and is suitable for tumors with extensive esophageal invasion.

keywords:

Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction

Yun Huang 1, 2 , Gang Liu 2 , Yan Zhang 2 , Zhanwei Zhao 2 , Kunqiu Yang 2 , Zhen Cao 2 , Jianjun Li 2 , Chaojun Zhang 1, 2

adenocarcinoma of the esophagogastric junction, esophagojejunostomy, overlap anastomosis, OrVil anastomosis, surgical complications

Yun Huang

^{1, 2}

,

Gang Liu

²

,

Yan Zhang

²

,

Zhanwei Zhao

²

,

Kunqiu Yang

²

,

Zhen Cao

²

,

Jianjun Li

²

,

Chaojun Zhang

^{1, 2}