Clinical efficacy of stapler technique for repair of cervical tracheoesophageal fistula
10.7507/1007-4848.201703023
- VernacularTitle:Stapler 技术治疗颈段气管食管瘘的临床疗效分析
- Author:
ZHANG Jinzhou
1
;
YANG Jianbao
2
;
LI Bin
2
;
ZHANG Jianhua
2
;
JIANG Peng
2
;
SONG Tieniu
2
;
WEI Xiaoping
2
;
ZHU Duojie
2
;
MENG Yuqi
2
;
GUO Quanwei
2
Author Information
1. 1. Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University Second Clinical Medical College, Lanzhou, 730030, P.R.China； 2. Intensive Care Unit, Gansu Provincial Hospital, Lanzhou, 730000, P.R.China
2. Department of Thoracic Surgery, Lanzhou University Second Hospital, Lanzhou University Second Clinical Medical College, Lanzhou, 730030, P.R.China
- Publication Type:Journal Article
- Keywords:
Cervical tracheoesophageal fistula;
stapler technique;
efficacy analysis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(2):153-158
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of fistula repair by stapler technique in patients with cervical tracheoesophageal fistula. Methods Retrospective analysis of 8 patients with cervical tracheoesophageal fistula who accepted operative treatment in the Department of Thoracic Surgery, Lanzhou University Second Hospital from October 2014 to October 2016 was conducted. There were 5 males and 3 females at a mean age of 46.4±13.9 years ranging from 23 to 67 years. The fistula was induced by tracheal intubation in 4 patients, by esophageal foreign bodies in 2, by tracheal stent in 1 and by esophageal diverticulum in 1. The fistula was closed by stapler technique. The surgical effects were evaluated through Karnofsky performance score (KPS), image assessment, patient satisfaction score and assessment of improvement in feeding-induced bucking. Results The operations were performed successfully with time of 117.5±6.6 min and intraoperative blood loss of 60.0±7.0 ml. After the operations, the patients did not suffer incision bleeding and infection, hoarseness, dyspnea, drinking-induced bucking, fistula relapse, tracheoesophageal stenosis or any other complications, and no death occurred during the perioperative period. The chest X-ray test was performed 1 week later showed that the pulmonary infection disappeared, and only 1 patient suffered from esophageal stenosis 1 year later. The postoperative KPS score was 90.0±7.0 points, which significantly improved in contrast to preoperation (P<0.01). Postoperative pulmonary infection area reduced significantly (P<0.05), tracheoesophageal fistula disappeared, postoperative patients satisfaction rate was 90%, and assessment of feeding-induced bucking was excellent. Conclusion Using stapler technique to repair cervical tracheoesophageal fistula is safe, easy and useful, with less operation time and postoperative complications.
