[A modified esophagogastrostomy: report of 528 patients]

The nearby tissues were used to cover the esophagogastric anastomotic stoma in 528 patients with esophageal and cardiac cancer undergoing resection. After interrupted suturing of the whole layer of esophagus and stomach, the paracervicalis was anastomosed with the capsule of the thyroid gland to strengthen the anterior wall of the anastomotic stoma. In case the anastomosis is done alove the arch of aorta, a flap of pedicled plewa is produced to cover the upper frigonum. The lower ligamentum pulmonale was used to coner the anastomosis when it is performed subaoticolly. No anastomotic leakage and stenosis were found in 528 patients in the follow-up of 2-5 years.