Innovations for Cervical Esophagogastrostomy in Thoracic Esophageal Cancer Operations.
Anticancer Res
; 38(4): 2323-2327, 2018 04.
Article
em En
| MEDLINE
| ID: mdl-29599355
ABSTRACT
Three-field lymph node dissection is now performed in operations for advanced thoracic esophageal cancer, with an associated improvement in outcomes. However, reconstructive surgery following resection of the esophagus is frequently associated with the occurrence of anastomotic leakage. Once it occurs, major problems can arise such as decreased quality of life, protracted hospitalization, or even death. This is why there has been a large number of innovations in and modifications to reconstructive surgery. The standard procedures in our Department for advanced thoracic esophageal cancer are subtotal esophagectomy and three-field lymph node dissection. The thin gastric tube along the greater curvature is used as the reconstructed organ in reconstructive surgery, performing a cervical esophagogastrostomy. Innovations have been made to reconstructive surgery in order to prevent anastomotic leakage. This procedure markedly reduces anastomotic leakage, and also reduces anastomotic stricture, which likely makes it an extremely useful procedure that any surgeon can perform.
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Eixos temáticos:
Inovacao_tecnologica
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Esofágicas
/
Toracostomia
/
Gastrostomia
/
Carcinoma de Células Escamosas
/
Esofagectomia
/
Invenções
/
Pescoço
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article