1National Cancer Center of Mongolia
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Such a complication the leakage from esophageal anastomosis alone accounts for 25-60 percent of mortality following the upper gastric cancer surgery. Although the surgical technique is often accountable for the complication, a number of other factors such as anatomical peculiarities of esophagus, level of esophageal excision, degree of esophageal involvement and surgical approach play role in it. The current study investigated the esophageal leakage complication based on the records of 137 patients who underwent surgical treatment for upper gastric cancer at the National Cancer Center (NGC) during 1994-2002. Irrespective of the type of surgery, anastomoses with the use of stapler result in twice as less complications as manual methods, and no difference is observed in complication rates between gastric resection and total gastrectomy.
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