Improving the Approach for end to side Esophagastric anastomosis in the Radical Resection for Stomach Cardia?Fundus and Body Cancinoma

Objective:To evaluate an improving approach for end to side esophagastric anastomosis in the radical resection for stomatch cardia?fundus and body carcinoma.Methods: There are 40 cases undergoing radical operation for stomatch cardia?fundus and body cancinoma during which esophatgatric anastomosis was performed before suturing the resiual stomach and removing the locus.Results: The anastomosis was completed for one time in the hole group.This approach sped up the operation a lot and lessended bleeding greatly.Neither anastomotic leak nor narrowing occured after operation.Moreover,9 cases avoided total gastrectomy,in which the lesser curvature involvement is beyond one second of the length.Conclusions: By performing esophagastric anastomosis before suturing the residual stomach and removing the locus.Complications were reduced,incidence of total gastrectomy was decreased and the patients living quantity was improved.