Personalized management of anastomotic leak after surgery for esophageal carcinoma / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal
;
(4): 35-40, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-243270
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the management of anastomotic leak following surgery for esophageal carcinoma.</p><p><b>METHODS</b>The medical records of the patients developing digestive tract leak after surgery for esophageal carcinoma in our hospital from January 2003 to March 2011 were retrospectively analyzed.</p><p><b>RESULTS</b>A total of 36 patients were included, in whom 13 developed cervical anastomotic leak, 18 had intra-thoracic anastomotic leak, and 5 had intra-thoracic gastric necrosis. Of these patients, 7 were treated with resurgery, 6 with esophageal stent implantation, and 23 with conservative treatment. Treatment lasted for 5 to 181 days, averagely 47.0 +/- 31.9 days. After management, 9 patients died (25.0%). Among seven patients with resurgery, four had deceased, two were cured, and one developed leak again and was switched to conservative treatment until discharged. All the 6 patients treated with stent implantation were cured. Of the 24 patients receiving conservative treatment (including one switched from resurgery), 18 (75.0%) were cured and 1 was not cured but survived.</p><p><b>CONCLUSIONS</b>Anastomotic leak following surgery for esophageal carcinoma should be treated individually based on the onset time, location, size, and extent of the leakage. Conservative treatment is still a safe and effective method. The efficacy of stent implantation needs further investigation to confirm.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Terapêutica
/
Neoplasias Esofágicas
/
Resultado do Tratamento
/
Medicina de Precisão
/
Fístula Anastomótica
Tipo de estudo:
Estudo prognóstico
Limite:
Adulto
/
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Medical Sciences Journal
Ano de publicação:
2012
Tipo de documento:
Artigo
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