Analysis of 19 cases undergoing reoperation for complications following esophagectomy
10.3760/cma.j.issn.1671-0274.2014.05.021
- VernacularTitle:食管癌二次手术19例原因分析
- Author:
Yongbo YANG
1
;
Wanpu YAN
;
Hongchao XIONG
;
Zhen LIANG
;
Liang DAI
;
Xiaozheng KANG
;
Heli YANG
;
Keneng CHEN
Author Information
1. 100142,北京大学临床肿瘤学院 北京市肿瘤防治研究所 恶性肿瘤发病机制及转化研究教育部重点实验室 北京肿瘤医院胸外一科
- Keywords:
Esophageal neoplasms;
Re-operation;
Postoperative complications;
Treatment;
Prevention
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(5):492-494
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the cause and the management of treatment and prevention of reoperation following esophagectomy. Methods Clinical data of 946 cases with esophageal cancer undergoing esophagectomy from January 2000 to December 2012 by the same surgical team in the Beijing Cancer Hospital were retrospectively analyzed. Among them , 19 patients underwent reoperation after esophagectomy because of serious complications. Clinical features and treatment course of these 19 cases were summarized. Results The indications and procedures of reoperation included thoracotomy for hemorrhage (n=4), diaphragmatic hernia repair (n=4), thoracic duct ligation for chylothorax (n= 4), re-suturing for incision dehiscence (n=4), re-laparotomy and re-thoracotomy for drainage of traumatic pancreatitis (n=1), re-laparotomy for intestinal obstruction (n=1), and tracheotomy for bilateral recurrent laryngeal nerve paralysis(n=1). All the 19 patients were successfully cured without perioperative deaths and further complications. Conclusions The indications of reoperation following esophagectomy include postoperative bleeding, diaphragmatic hernia, chylothorax and abdominal incision dehiscence.
