ABSTRACT
Results of surgical treatment were analyzed in 128 patients operated for esophageal carcinoma and gastric cancer involving the esophagus. The role of anastomosis type was specified among risk factors for anastomosis insufficiency; efficacy of cuff anastomosis in prophylaxis of insufficiency was statistically proved.
Subject(s)
Esophagoplasty/methods , Esophagus/surgery , Stomach/surgery , Adult , Aged , Anastomosis, Surgical/adverse effects , Constriction, Pathologic/prevention & control , Esophagoplasty/adverse effects , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prognosis , Reoperation , Retrospective Studies , Suture Techniques , Treatment FailureSubject(s)
Diaphragm/transplantation , Esophageal Neoplasms/surgery , Esophagoplasty/adverse effects , Gastroplasty/methods , Stomach Ulcer/surgery , Surgical Flaps , Esophagoplasty/methods , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/surgery , Retrospective Studies , Stomach Ulcer/etiologyABSTRACT
Purulent endobronchitis was identified as a significant causative factor of post-operative development of pneumonia in 113 patients operated on for cancer of the esophagus and esophagogastric junction. Development of purulent endobronchitis was in turn influenced by extent of lymph node dissection. Timely catheterization and sanitation of the trachea and bronchi are a major tool of treatment.
Subject(s)
Esophageal Neoplasms/surgery , Esophagectomy/adverse effects , Esophagogastric Junction/surgery , Gastrectomy/adverse effects , Pneumonia/prevention & control , Stomach Neoplasms/surgery , Adult , Aged , Esophagectomy/methods , Female , Gastrectomy/methods , Humans , Male , Middle Aged , Pneumonia/etiology , Primary Prevention/methodsABSTRACT
Anastomotic leakage due to loosening of sutures is the frequent cause of lethality. To prevent such complication, a sleeve-type esophago-enteric and esophagogastric anastomosis was used. Its design eliminates the major cause of failure--the basic sutures running through the soft muscular wall of the esophagus. The new anastomosis was used in ca. 42 patients: Lewis operation (24), proximal resection of the stomach and distal thoracic part of the esophagus and adjuvant intrapleural esophagoplasty with the distal end of the stomach (8), gastrectomy with resection of the distal thoracic part of the esophagus and concomitant intrapleural esophagoplasty with small intestine (S.S.Yudin) (10). Postoperative complications were reported in 18 patients (42.9%); lethality--11.9%. No leaking esophageal anastomosis was registered.
