Comparison of the Application Effects of Different Anastomosis Methods in Patients Undergoing Thoracolaparoscopic Radical Resection for Esophageal Cancer

WANG Haibing; WANG Qingfeng

doi:10.3969/j.issn.1004-437X.2026.07.016

Abstract：Objective To compare the application effect of T-type full mechanical side-to-side anastomosis and tubular end-to-side anastomosis in patients undergoing thoracoscopic and laparoscopic radical resection of esophageal cancer.Methods A retrospective study was conducted to collect the medical records of 54 patients undergoing radical resection of esophageal cancer by thoracic laparoscopy who received T-type full mechanical side-to-side anastomography in the Department of Thoracic Surgery of the People's Hospital of Anyang City from January 2021 to June 2023,and included them into the A group.The medical records of 54 patients undergoing laparoscopic radical resection for esophageal cancer who received end-to-side anastomosis at the same time were collected and included into the B group.The clinical data of all patients were intact.The perioperative indexes,tumor resection diameter,number of lymph node dissection,postoperative complications and short-term prognosis were compared in both groups.Results The operation time and anastomosis time of the A group were shorter than those of the B group,and the incidence of postoperative complications was lower than that of the B group,(P＜0.05).The difference was not statistically significant in intraoperative blood loss,drainage tube removal time,oral feeding time,tumor resection diameter,number of lymph node dissection,recurrence rate and survival rate in both groups(P＞0.05).Conclusion The application of T-type full mechanical lateral anastomosis and tubular end-to-side anastomosis in radical resection of thoracic esophageal cancer can achieve similar short-term prognosis,and the therapeutic effect is similar,but the former can shorten the operation time and anastomosis time and reduce postoperative complications.