Advantages of Totally Stapled Collard Over Circular Stapled Technique for Cervical Esophagectomy Anastomosis

作者全名：Wang, Kangning; Xie, Qin; Wei, Xing; Gong, Ruoyan; Shi, Qiuling; Leng, Xuefeng; Han, Yongtao; Fang, Qiang

作者地址：[Wang, Kangning; Xie, Qin; Wei, Xing; Shi, Qiuling; Leng, Xuefeng; Han, Yongtao; Fang, Qiang] Univ Elect Sci & Technol China, Affiliated Canc Hosp, Sichuan Canc Hosp & Inst, Sichuan Clin Res Ctr Canc,Sichuan Canc Ctr,Dept Th, Chengdu, Peoples R China; [Gong, Ruoyan; Shi, Qiuling] Chongqing Med Univ, Sch Publ Hlth & Management, Chongqing, Peoples R China

通信作者：Fang, Q (通讯作者)，Univ Elect Sci & Technol China, Affiliated Canc Hosp, Sichuan Canc Hosp & Inst, Sichuan Clin Res Ctr Canc,Sichuan Canc Ctr,Dept Th, Chengdu, Peoples R China.

来源：ANNALS OF THORACIC SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001223125100001

JCR分区：Q1

影响因子：3.6

年份：2024

卷号：117

期号：5

开始页：1025

结束页：1033

文献类型：Article

关键词：　

摘要：BACKGROUND The quality of life between the totally stapled Collard (TSC) and circular stapled (CS) techniques from the patient's perspective has not been assessed. This longitudinal patient -reported outcome and objective data assessment study aimed to compare the effects of TSC vs CS for cervical anastomosis with minimally invasive esophagectomy (MIE) on the quality of life. METHODS This single -center, retrospective study included patients with esophageal cancer who underwent MIE and cervical anastomosis between April 2019 and February 2021; of whom, 105 and 216 patients received TSC and CS anastomosis, respectively. The objective metrics were evaluated based on postoperative complications. Patientreported outcomes instruments using the European Organization for Research and Treatment of Cancer modules were assessed preoperatively. The Quality of Life Questionnaire (QLQ) Core 30 and the QLQ-Oesophagus Module 18 assessed the quality of life. Mixed -effects models examined changes in questionnaire scores. RESULTS The stenosis rate in the TSC group was significantly lower than that in the CS group. There were no significant differences in other postoperative complications between the groups. In the QLQ Core 30 scale, the TSC group had better emotional function, less fatigue, less appetite loss, and better function than the CS group, with significant differences in different time points between the groups. QLQ-Oesophagus Module 18 revealed that the TSC group had significantly less appetite loss, dysphagia, dry mouth, pain, and obstruction, and better eating and speech than the CS group. CONCLUSIONS TSC has significant advantages over the CS technique in lowering postoperative symptom burden and improving quality of life for cervical anastomosis on patient -reported outcomes. (Ann Thorac Surg 2024;117:1025-34) (c) 2024 by The Society of Thoracic Surgeons. Published by Elsevier Inc.

基金机构：Sichuan Province Science and Tech- nology Support Program [2021YJ0118]; Scientific Research Project of Sichuan Provincial Health and Family Planning Commission [18PJ435]; International Cooperation Projects of Science and Technology of Sichuan Province [ChiCTR-INR-17013584]

基金资助正文：This research was supported by the Sichuan Province Science and Tech- nology Support Program (No. 2021YJ0118) , the Scientific Research Project of Sichuan Provincial Health and Family Planning Commission (18PJ435) , and the International Cooperation Projects of Science and Technology of Sichuan Province (ChiCTR-INR-17013584) .