Modifications in retrosternal reconstruction after oesophagogastrectomy may reduce the incidence of anastomotic leakage

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Hong HuHaiquan Chen

Abstract

The retrosternal route has been an alternative for oesophageal reconstruction after oesophagectomy. But the longer route and the higher incidence for cervical anastomotic leakage compared with the posterior mediastinal approach have always hampered its wider use. However, with the recent work reported by Chen and colleagues, the anterior route has been confirmed to provide the shortest physiological distance for oesophageal reconstruction using the stomach. Furthermore, improving the original surgical procedures seemed to improve outcomes. This research aims to evaluate whether modification of the original surgical standard of alimentary tract reconstruction after oesophagectomy can reduce the incidence of anastomotic leakage. One hundred and two patients were divided into the research group and the control group. Subjects in the research group received the improved three-incision oesophagectomy (right chest/belly/left neck) after which the alimentary tract reconstruction was achieved by using a gastric conduit positioned through the retrosternal route. Patients in the control group received the original surgical procedures. Parameters such as the incidence of anastomotic leakage, pneumonia, length of hospital stay, ICU stay an...Continue Reading

References

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May 10, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Haichuan HuHaiquan Chen

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Citations

Sep 24, 2013·The Annals of Thoracic Surgery·Ting YeHaiquan Chen
Mar 30, 2016·The Journal of Surgical Research·Jingrong YangCongwen Zhuang
Jan 21, 2020·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Sivesh K KamarajahEwen A Griffiths
Sep 19, 2018·Esophagus : Official Journal of the Japan Esophageal Society·Katsunori NishikawaKatsuhiko Yanaga

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