During esophagectomy for esophageal cancer, a gastric tube is necessary for the perioperative period. However, the gastric tube and anastomotic anvil placement is often extremely difficult and time consuming during surgery. We used the traditional method or improved method to place the gastric tube and anastomotic anvil during thoracoscopic and laparoscopic Ivor Lewis esophagectomy. Thirty-seven patients were in the improved group: the gastric tube and anastomotic anvil were placed using the improved method; 35 patients were in the traditional group: the gastric tube and anastomotic anvil were placed using the traditional method. Retrospectively, we analyze the basic clinical characteristics, perioperative clinical features, and postoperative complications of the two groups of patients. The two groups were matched well for baseline characteristics. There was no significant difference between the two groups in blood loss, postoperative hospital stay, postoperative fasting time, drainage volume, and overall complications. But significant between-group differences were observed in time consuming and chest tube indwelling time (P < 0.05), both of which were significantly shorter in the improved group than in the traditional group. This improved method can reduce the difficulty of placing anastomotic anvil and gastric tube and prevent damage to the anastomosis during surgery.

中文翻译：

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一种改进的方法，用于在胸腔镜和腹腔镜Ivor Lewis食管切除术中放置胃管和吻合砧。

在食管癌的食管切除术中，围手术期需要胃管。然而，在手术期间胃管和吻合砧的放置通常非常困难且耗时。我们在胸腔镜和腹腔镜Ivor Lewis食管切除术中使用传统方法或改良方法放置胃管和吻合砧。改良组37例：采用改良方法置入胃管和吻合砧。传统组35例：采用传统方法置入胃管和吻合砧。回顾性地，我们分析了两组患者的基本临床特征，围手术期临床特征和术后并发症。两组的基线特征非常吻合。两组在失血量，术后住院时间，术后禁食时间，引流量和总体并发症方面无显着差异。但是，两组之间在耗时和胸管留置时间方面存在显着差异（P <0.05），而改良组的两者均明显短于传统组。这种改进的方法可以减少放置吻合砧和胃管的难度，并防止在手术过程中损坏吻合口。改良组的两者均明显短于传统组。这种改进的方法可以减少放置吻合砧和胃管的难度，并防止在手术过程中损坏吻合口。改良组的两者均明显短于传统组。这种改进的方法可以减少放置吻合砧和胃管的难度，并防止在手术过程中损坏吻合口。