Abstract | OBJECTIVE: To find out the optimal method for diagnosing and treating anastomotic leaks and necrosis of the organs used for reconstruction after resection of oesophageal cancer and oesophagoplasty. DESIGN: Retrospective study. SETTING: University department, Japan. SUBJECTS: 481 patients who underwent resection of oesophageal cancer and subsequent oesophagoplasty (including 47 postoperative anastomotic leaks and 10 cases of necrosis of the organs used for reconstruction). MAIN OUTCOME MEASURES: Morbidity and mortality. RESULTS: Of 47 patients with anastomotic leaks 2 died during their hospital stay as did 3 (30%) of 10 patients with necrosis. Necrosis was most common in cases in which the colon had been harvested by the presternal route (4/13, 31%). Secondary reconstruction with a free jejunal graft was successful in 3/4 cases. CONCLUSION:
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Authors | K Yoshino, T Kawano, K Nagai, M Endo |
Journal | The European journal of surgery = Acta chirurgica
(Eur J Surg)
Vol. 162
Issue 10
Pg. 791-6
(Oct 1996)
ISSN: 1102-4151 [Print] England |
PMID | 8934108
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anastomosis, Surgical
(adverse effects)
- Colon
(pathology, surgery)
- Drainage
- Esophageal Neoplasms
(surgery)
- Esophagoplasty
(adverse effects, methods)
- Female
- Humans
- Jejunum
(transplantation)
- Male
- Middle Aged
- Necrosis
- Postoperative Complications
(diagnosis, therapy)
- Reoperation
- Retrospective Studies
- Stomach
(pathology, surgery)
- Therapeutic Irrigation
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