Comparison of One Layer and Two Layer Hand-Sewn Methodin Esophagogastric Anastomosis of Ivor-Lewis Esophagectomy

Abstract

The objective of this retrospective study was to compare the two types of Hand-Sewn method, one layer and two layer in esophagogastric anastomosis of Ivor-Lewis esophagectomy. This study took in 24 patients with squamous cancer of thoracic esophagus from January 2000 to January 2008. The means total operative time with one layer or two layer Hand-Sewn methods were 208 and 193 minutes respectively; leakage rates were 25 percent (3 patients) and none.  Postoperative pneumonia rates were 25 percent (3 patients) and 16.7 percent (2 patients). Eventually, hospital mortality rate were 16.7 percent (2 patients) and 8.3 percent (1 patients).  In conclusion, the two layer Hand-Sewn method in esophagogastric anastomosis resulted in less anastomotic leakage rate, postoperative pneumonia rate and hospital mortality rate than those of the one layer Hand-Sewn method.