Placement of esophageal bed drainage with low negative pressure for early diagnosis and treatment of intra-thoracic esophageal anastomotic leakage
10.16571/j.cnki.1008-8199.2017.01.018
- VernacularTitle:食管床低负压引流在食管癌术后胸内吻合口瘘早期诊断及治疗中的应用
- Author:
Xiangfang CHENG
- Keywords:
Esophageal carcinoma;
Esophageal bed;
Low neg-tive pressure drainage;
Anastomotic leakage
- From:
Journal of Medical Postgraduates
2017;30(1):88-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective Anastomotic leakage is a serious complication after esophagectomy , we try to observe the early diag-nosis and treatment of intra-thoracic anastomotic leakage following esophagectomy through placing an esophageal bed drainage tube with low negative pressure on , and to explore the clinical value of esophageal bed drainage tube with low negative pressure . Methods We retrospectively analyzed the clinical data of 216 patients with esophageal carcinoma receiving intra-thoracic esophagogastro-anasto-mosis in our hospital from Mar .2013 to Nov.2015 .There were 124 patients were placed an esophageal bed drainage tube with low nega-tive pressure and a closed thoracic drainage tube after surgery ( low negative pressure group ) , and 92 patients were just place a closed thoracic drainange tube ( control group ) .Compared the differences of the incidence rate of intra-thoracic anastomotic leakage , the time of confirmed diagnosis and the time of recovery after anastomotic leakage ( time from confirmed diagnosis to recover oral intake ) between the two groups. Results There was no difference in incidences of anastomotic leakage in two groups (5.65%vs 4.34%, P>0.05), however, diagnosis of anastomotic leakage in experiment group was earlier than that of control group ([5.43±1.62]d vs [8.25±2.22]d, P<0.05) and the period of time for recovery after anastomotic leakage was shorter than control group ([29.29±10.18]d vs [78.50±20.27] d, P<0.05). Conclusion Placing a esophageal bed drainage tube with low negtive pressure in esophagectomy could be valuable for early diagnosis and treatment of anastomotic leakage as well as shorting the recovery course of anastomotic leakage after esophagectomy .