Relationship between the Postoperative Anastomotic Leak in Esophageal Cancer and the Anatomy of Thoracic Inlet
- VernacularTitle:食管癌术后吻合口瘘与胸廓入口解剖的关系
- Author:
Fengkai XU
1
;
Chunlai LU
;
Jie GU
;
Guangyin ZHAO
;
Di GE
;
Yunfeng YUAN
Author Information
1. 复旦大学附属中山医院胸外科
- Keywords:
Radical resection of esophageal cancer;
Postoperative anastomotic leak;
Thoracic inlet
- From:
Chinese Journal of Clinical Medicine
2015;(2):165-168
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship and between the postoperative anastomotic leak in esophageal cancer and the anatomy of thoracic inlet .Methods:The clinical data of 91 patients ,who underwent cervical thoracoabdominal incision for radical resection of esophageal cancer combined with cervical esophagogastrostomy ,from January 2012 to January 2014 ,were retrospectively analyzed .13 cases suffered postoperative anastomotic leak .The anatomy of thoracic meatus was evaluated by measuring the related distance in preoperative CT (computerized tomography ) image .Correlation between the anatomy of thoracic inlet together with associated clinical factors and the postoperative anastomotic leak was analyzed . Results:Postoperative anastomotic leak was related to the gap between trachea and vertebral body at the thoracic inlet ,and it was also related to the location of tumor and the shape of tubular gastro (P<0 .05) .Conclusions:Narrow thoracic inlet may increase the incidence of postoperative anastomotic leak in esophageal cancer .Thus ,it’s necessary to evaluate the size of thoracic inlet before operation .
