Anastomotic Leakage and Stricture Relating to Anastomotic Level and Methods in Esophageal Resection and Reconstruction for Esophageal Cancer.
- Author:
Hong Ju SHIN
1
;
Chong Wook KIM
;
Soon Ik PARK
;
Yong Hee KIM
;
Dong Kwan KIM
;
Seung Il PARK
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. sipark@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Esophageal neoplasms;
Esophageal surgery;
Stricture;
Leakage
- MeSH:
Anastomotic Leak*;
Constriction, Pathologic*;
Esophageal Neoplasms*;
Female;
Humans;
Male;
Prevalence
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(3):208-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The prevalence of anastomotic complication is related to anastomotic procedure or site in esophageal cancer operation. We studied the anastomotic leakage and stricture related to the anastomotic procedure &site in patients who received the esophageal resection and reconstruction for esophageal cancer. MATERIAL AND METHOD: The anastomotic procedure, site and complication of 321 patients who received the esophageal reconstruction from August 1993 to May 2003 were investigated. Mean age was 64.5+/-4.9 (37~94) years, 300 patients (93.5%) were male and 21 patients were female (6.5%). RESULT: There were 7 anastomotic leakages (2.2%) and no difference in anastomotic site (cervical anastomosis 4.1%, thoracic anastomosis 1.6%) and procedure (stapler technique 1.6%, semi-staple technique 9.1%, hand-sewn technique 0.0%). There were 52 anastomotic strictures (16.2%), differences in sites (cervical anastomosis 2.7%, thoracic anastomosis 20.2%) (p <0.001) and procedure (stapler technique 20.0%, semi-stapler technique 3.0%, hand-sewn technique 4.7%). And the stapler technique showed higher stricture rate (p <0.001). CONCLUSION: Anastomotic technique was less related to anastomotic leakage in esophageal reconstruction for esophageal cancer. However, stapler technique had higher stricture rate than other techniques. Therefore, we suggest that the anastomotic technique be improved to reduce anastomotic stricture.
