Omental transposition to mediastinum improves the outcome of postoperative intra-thoracic infections of Ivor-Lewis surgery
10.3760/cma.j.issn.1671-0274.2014.09.015
- VernacularTitle:大网膜纵隔移位固定对食管癌Ivor-Lewis术后胸内感染的预防
- Author:
Qiuyuan LI
1
;
Jian HU
;
Yunhai YANG
;
Peng YE
Author Information
1. 浙江大学医学院附属第一医院普通胸外科
- Keywords:
Esophageal neoplasms;
Omentum;
Mediastinum;
Postoperative complications;
Intrathoracic infection
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(9):907-910
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the efficacy of pedicled greater omentum transposed to mediastinum in prevention against postoperative in-hospital intrathoracic complications after esophagectomy. Methods Clinical data of 148 consecutive patients with esophageal cancer undergoing Ivor-Lewis surgery in our department from January 2010 to May 2014 were retrospectively reviewed. Among them, 84 patients with omental transposition (transposition group) and 64 patients without omental transposition(non-transposition group) were compared. Results Postoperative hospital stay was shorter in patients with omental transposition compared to those without omental transposition (P<0.05). Intrathoracic infection rate was significantly lower in transposition group (33/84, 39.3%) than that in non-transposition group(36/64, 56.2%), and as was the combined sepsis rate[19/33, 57.6%vs. 31/36, 86.1%, P<0.05]. No significant differences were found in the morbidity of anastomotic leakage , wound infection, cardiac complication and mortality during hospitalization. The median postoperative hospital stay was significantly shorter in transposition group than that in non-transposition group (13.0 vs. 16.5 days, P<0.05). Conclusion Omental transposition to mediastinum can reduce the development and severity of intrathoracic infection and shorten hospital stay in patients undergoing esophagectomy.
