53 cases with treatment of postoperative digestive tract fistula and associate complications of esophageal or cardiac cancer

VernacularTitle:53例食管癌贲门癌术后吻合口瘘及相关并发症的处理
Author: Guangyu YANG ; Yi HE ; Weicai HU ; Guangjie HOU ; Junfeng YANG ; Qingfeng LIU ; Pu ZHAO
Publication Type:Journal Article
Keywords: Esophageal neoplasms; Cardiac; Digestive system fistula; Postoperative complication
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2014;30(1):11-13
CountryChina
Language:Chinese
Abstract: Objective Discuss clinical type and treatment of postoperative digestive tract fistula and associate complications of esophageal or cardiac cancer.Methods Analized clinical manifestations and treatment retrospectively of 53 cases of digestive tract fistula after operation of esophageal or cardiac cancer from January,2010 to December,2012.Results All the 10 undergoing surgery are cured by reoperation.2 died of mediastinal infection and sepsis.4 died of respiratory failier,malnutrition,left and right bronchal fistula,respectively.Conclusion There are 4 types of fistula:Ⅰ type of sepsis,Ⅱ type of respiratory failure,Ⅲ type of thoracic infection,Ⅳ type of neck inection.Reoperation within 24 hours is the key of suscessful repairment of intrathoracic anastmotic leakage.Bronchal fistula or respiratory failure caused by multiple thoracic encapsulated effusion is also the indication of surgery.Complete lung reexpansion and complete drainage is the key.Mini-invasive VATS is the method of exact drainage.