Intrathoracic leak after an Ivor Lewis procedure for an esophageal neoplasm treated with a stent

Luis, Natalia Afonso; Mérida, María Asunción Acosta; Gómez, Joaquín Marchena

doi:10.17235/reed.2018.5161/2017

Cited by 1 publication

(1 citation statement)

References 6 publications

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“…However, the surgical procedure for esophageal cancer is complicated, and postoperative complications frequently occur, leading to high mortality rates. Esophagogastrostomy is currently the most typical approach for surgical anastomosis in esophagectomy . However, postoperative complications such as anastomotic fistula, anastomotic stricture and gastroesophageal reflux still exist, which greatly affect the postoperative quality of patients' lives and in some cases are even life‐threatening .…”

Section: Introductionmentioning

confidence: 99%

Pre‐embedded cervical circular stapled anastomosis in esophagectomy

Wang

Liang

et al. 2020

Thoracic Cancer

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Background Mechanical anastomosis is now widely used in surgery for esophageal cancer. An anastomotic fistula is still the most dangerous complication in mechanical anastomosis, especially for patients who undergo cervical anastomosis. However, due to the high anastomosis position and limited space, conventional embedding and suspension are rarely performed. This study aimed to introduce the steps of an improved embedded method in cervical circular stapled anastomosis and evaluate its efficacy in reducing complications. Methods In total, 31 patients who underwent minimally invasive esophagectomy were enrolled into the study. Pre‐embedded cervical esophagogastrostomy with a circular stapler was adopted after thoracoscopic and laparoscopic esophagectomy for esophageal cancer. Results The results of surgical duration, blood loss, mean duration of hospitalization and operation complications such as anastomotic fistula, anastomotic stenosis and gastroesophageal reflux were recorded. The operative procedure lasted between 205–300 minutes with an average of 260.3 minutes. The postoperative recovery was good, with no complications such as anastomotic fistula, anastomotic stricture and pulmonary complication, except for two cases of gastroesophageal reflux. The postoperative hospital stay was 8–14 days with an average of 10.3 days. Conclusion Our data revealed that pre‐embedded cervical circular stapled anastomosis is an alternative for patients with good stomach length, which can decrease the occurrence rate of anastomotic fistula by full peripheral embedding of anastomotic stoma. Key points This new technique can significantly reduce the risk of anastomotic leakage. This study adds further details enabling a smooth pre‐embedded procedure to be performed.

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Section: Introductionmentioning

confidence: 99%