Improvement to colon interposition after esophagectomy
10.3760/cma.j.issn.1001-4497.2016.07.001
- VernacularTitle:改良结肠代食管手术65例
- Author:
Ziang CAO
;
Jiahao ZHENG
;
Xiaozhe QIAN
;
Zhiyong SUN
- Publication Type:Journal Article
- Keywords:
Esophagus;
Colon interposition after esophagectomy;
Simplify vascular anatomy;
Intrathoracic anastomosis;
Anastomotic leakage
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(7):385-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the improving safety measures of colon interposition after esophagectomy .Methods From January 2003 to December 2014, 65 cases of colon interposition after esophagectomy were performed, and some improve-ments were made in the methods and procedures .Mainly including: Preoperative evaluation to first operation; Selection of co-lon segment; Simplify vascular anatomy;Cervical anastomosis was replaced by intrathoracic anastomosis;Modified anastomosis sequence; Strengthen preoperative preparation.Results There were no perioperative deaths.Only 2 patients with cervical fis-tula, due to malnutrition automatically discharged.The rate of anastomotic leakage on neck were 27.77%(10/36) and 6.89%(2/29) in the chest.2 cases were completed intestinal obstruction after jejunostomy , 1 cases of volvulus and 1 cases of intus-susception confirmed by reoperation.Conclusion Colon interposition after esophagectomy is a very important way of surgery. The operation process is complex, but as long as mastering the point of surgery, improving the surgical procedures, the good effect can be obtained and greatly improve the safety of the operation .
