Modified reverse-puncture anastomotic technique vs. traditional technique for total minimally invasive Ivor-Lewis esopha
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(2020) 18:325
RESEARCH
Open Access
Modified reverse-puncture anastomotic technique vs. traditional technique for total minimally invasive Ivor-Lewis esophagectomy Xiaokang Shen1†, Tianming Chen2†, Xiaoming Shi3, Ming Zheng3, Zhang Yan Zhou4, Hai Tao Qiu1, Jiawei Zhao5, Peng Lu3, Po Yang3 and Shilin Chen1*
Abstract Background: Total endoscopic Ivor-Lewis esophagectomy is a challenging, complex, and costly operation. These disadvantages restrict its wide application. The aim of this study was to compare the modified reverse-puncture anastomotic technique and traditional technique for total minimally invasive Ivor-Lewis esophagectomy. Methods: In this cohort retrospective study, all patients with medial and lower squamous cell carcinoma of esophagus from February 2014 and June 2018 were divided into two groups according to the surgical method, which were modified reverse-puncture anastomotic technique group and traditional technique group. The operation time, intraoperative bleeding volume, complications, and cost of the two groups were compared. Results: Forty-eight patients in the modified reverse-puncture anastomotic technique group while 54 patients in the traditional technique group were included. The operation time was 293.4 ± 57.2 min in the modified reversepuncture anastomotic technique group, which was significantly shorter than that in the traditional technique group (353.4 ± 64.1 min) (P < 0.05). The intraoperative bleeding volume of modified reverse-puncture anastomotic technique group was 157.3 ± 107.4 ml, while it was 191.9 ± 123.6 ml in traditional technique group (P = 0.14). There were similar complications between the two groups. The cost of modified reverse-puncture anastomotic and traditional technique in our hospital were and 72 ± 13 and 83 ± 41 thousand Yuan, respectively (P = 0.08). Conclusion: The good short-term outcomes that were achieved suggested that the use of modified reversepuncture anastomotic technique is safe and feasible for total endoscopic Ivor-Lewis esophagectomy. Keywords: Modified reverse-puncture anastomotic technique, Total endoscopic Ivor-Lewis esophagectomy, Medial and lower esophageal cancer
* Correspondence: [email protected] † Xiaokang Shen and Tianming Chen are co-first authors. 1 Department of Thoracic Surgery, Nanjing Medical University Affiliated Cancer Hospital, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Baiziting 42, Xuanwu District, Nanjing 210009, Jiangsu, China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated othe
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