Anastomotic complications after esophagectomy

被引：160

作者：

Lerut, T ^{[1
]}

Coosemans, W ^{[1
]}

Decker, G ^{[1
]}

De Leyn, P ^{[1
]}

Nafteux, P ^{[1
]}

Van Raemdonck, D ^{[1
]}

机构：

[1] Univ Hosp Leuven, Dept Thorac Surg, Louvain, Belgium

来源：

DIGESTIVE SURGERY | 2002年 / 19卷 / 02期

关键词：

esophagectomy; esophageal reconstruction; esophageal leak; esophageal stenosis; anastomotic techniques;

D O I：

10.1159/000052018

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Anastomotic complications after esophagectomy continue to be a burden jeopardizing the quality of life and of swallowing. However, incidence, mortality and morbidity of anastomotic complications have substantially decreased in recent years. It seems that this is not so much related to the use of a particular conduit, approach or route for reconstruction, but rather related to refinement in anastomotic techniques and perhaps even more to progress in modern perioperative management. Knowledge of surgical anatomy and meticulous technique are of paramount importance and obviously related to individual expertise. As to the management, most leaks can be treated by conservative measures and reintervention surgery today is rather exceptional. Early endoscopy and dilatation seem to decrease the incidence and severity of anastomotic stenosis. Copyright (C) 2002 S. Karger AG, Basel.

引用

页码：92 / 98

页数：7

共 34 条

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SINGLE-LAYERED CERVICAL ESOPHAGEAL ANASTOMOSES - A PROSPECTIVE-STUDY OF 2 SUTURING TECHNIQUES [J].