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[Application of circular staplers in cervical esophagogastric anastomosis after esophageal cancer resection].

OBJECTIVE
To evaluate safety and feasibility of circular staplers in cervical esophagogastrostomy after esophageal cancer resection.


METHODS
The clinical data of patients with esophageal carcinoma were analyzed retrospectively. These patients underwent esophagectomy and cervical esophagogastrostomy with mechanical staplers from August 2009 to April 2011 in the Henan Provincial People's Hospital.


RESULTS
A total of 202 patients had the anastomosis performed successfully except for one case who had esophageal tear during anastomosis and required hand-sewn repair. There was no operative mortality. Six patients developed cervical anastomotic leakage after operation, and all were treated conservatively. There was no thoracic anastomotic leakage and other complications related to anastomosis. Two patients had obvious gastroesophageal reflux. After a median of 10.2 months of follow-up, there was no anastomotic stricture.


CONCLUSION
Circular mechanical stapling in cervical esophagogastric anastomosis is a safe and feasible operative procedure.