Managing esophageal fistulae by endoscopic transluminal drainage in esophageal cancer patients with superior mediastinal sepsis after esophagectomy / 癌症
Chinese Journal of Cancer
; (12): 469-473, 2013.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-295840
Biblioteca responsável:
WPRO
ABSTRACT
The management of postoperative leaks into the mediastinum after esophagectomy remains a challenge. We describe our clinical management of this complication through endoscopic transluminal drainage. Between 2008 and 2011, 4 patients with esophageal squamous cell carcinoma (ESCC) who underwent McKeown-type esophagectomy with two-field lymphadenectomy experienced complicated anastomotic fistulae in the presence of superior mediastinal sepsis. All 4 patients underwent endoscopic transluminal drainage, and all survived. The mean healing period was 50 days (range, 31 to 58 days), the mean stay in the intensive care unit was 7.3 days (range, 1 to 18 days), and the mean hospital stay was 64.5 days (range, 49 to 70 days). Endoscopically guided transluminal drainage should be considered for ESCC patients with superior mediastinal fistulae after esophagectomy.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Terapêutica
/
Neoplasias Esofágicas
/
Carcinoma de Células Escamosas
/
Drenagem
/
Fístula Esofágica
/
Esofagectomia
/
Sepse
/
Endoscopia
/
Excisão de Linfonodo
Limite:
Idoso
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Chinese Journal of Cancer
Ano de publicação:
2013
Tipo de documento:
Artigo