Surgical treatment and prevention of anastomotic leakage in thoracic cavity after esophagectomy
XIAO Jian
YANG Qian
WU Lihui
HONG Jiang
SUN Guangyuan
WANG Zhinong
ZHAO Xuewei
SUN Yaochang
Abstract：Objective To evaluate the etiological factors,diagnosis,treatment and prevention of anasto-motic leakage in thoracic cavity after esophagectomy. Methods There were 55 cases of anastomotic leakage a-mong 1812 patients after taking the operation of esophagectomy. 28 patients were treated with non-operative treatment,27 patients were treated with operational treatment. Results 22 of 28 patients with non-operative treatment were cured,4 cases of death,2 cases were discharged voluntarily after giving up therapy;26 of 27 ca-ses with operational treatment were cured. One case of postoperative recurrence of anastomotic leakage died of multiple organ failure. Conclusion The mortality rate of anastomotic leakage is higher in thoracic cavity after esophagectomy,and the active preventive measures therapy may reduce the incidence of anastomotic leakage. Treatment should be used non-surgical methods firstly. If there is no improvement,surgical treatment is sup-posed to be taken as soon as possible. The treatment aims to keep effective drainage,supplemented by enteral nutrition could get better therapeutic effect.
Keywords：esophagectomyanastomotic leakageetiological analysisdiagnosissurgical treat-ment
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 273-276 )