Clinical Study of only One Stage Esophagoplasty by using Jejunum with Esophageal Stricture
Background: Esophagoplasty is very important in the patients who couldn’t eat normal cereal since they had organic and functional diseases in esophagus. Esophagoplasty is including multi-stage plasty and one-stage one, but most surgeon in thoracic field was concerned that one-stage plasty was reduced the duration of hospitalization, mental and physical burden, especially complications and sequelae after operations. Method: Between January 1999 and December 2015, 432 consecutive cases of cicatrical esophageal stricture were enrolled in the study at Pyongyang medical college hospital, Kim Il Sung University. The patients were randomly selected to undergo one-stage esophagoplasty (study group, 71 cases) or stepby- step esophagoplasty (control group, 361 cases). Result: One stage esophagoplasty with jejunum is associated with good postoperative result (effectiveness shortly after operation 97.2±2.7%, follow up effectiveness 98.4±2.6%) and more simplified operating method, so it is possible to introduce into the clinical practice of esophagus surgery. Conclusion: One stage esophagoplasty with jejunum is more simplified and needs less operation time compared with step by step esophagoplasty. It is also related with good postoperative result and less complication, which allows the wide introduction into the clinical practice of esophagus surgery.