Management of anastomotic leakage after laparoscopic surgery for adenocarcinoma of esophagogastric junction.
10.3760/cma.j.cn441530-20211221-00519
- VernacularTitle:食管胃结合部腺癌腹腔镜术后吻合口漏处理策略的选择
- Author:
Jiang Peng WEI
1
;
Wei Dong WANG
1
;
Xi Sheng YANG
1
;
Jun YANG
1
;
Rui Qi GAO
1
;
Xiao Hua LI
1
;
Gang JI
1
Author Information
1. Department of Gastrointestinal Surgery, The First Affiliated Hospital, Air Force Medical University, Xi'an 710032, China.
- Publication Type:Journal Article
- Keywords:
Adenocarcinoma of the esophagogastric junction;
Anastomotic leakage;
Endoscopic therapy;
Laparoscope;
Surgical treatment
- MeSH:
Adenocarcinoma/surgery*;
Anastomosis, Surgical;
Anastomotic Leak/surgery*;
Esophageal Neoplasms/surgery*;
Esophagogastric Junction/surgery*;
Gastrectomy/methods*;
Humans;
Laparoscopy/methods*;
Retrospective Studies;
Stomach Neoplasms/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2022;25(2):135-140
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of adenocarcinoma of esophagogastric junction (AEG) is increasing at home and abroad. Laparoscopic surgery has gradually become the main means of surgical treatment of this kind of tumor. However, due to the special anatomical position of the tumor, the high position away from the broken esophagus and the narrow space in the mediastinum, laparoscopic anastomosis has the characteristics of difficult anastomosis and high anastomosis position. There is a high risk of anastomotic leakage after operation, which may cause serious consequences. Early identification of anastomotic leakage and unobstructed drainage by various means are the key to treatment. With the development of endoscopic technology, endoscopic methods such as covered stent and vacuum-assisted closure further improve the treatment efficacy. As a salvage measure, surgical treatment can achieve good treatment outcome, while accompanied by risk of complications and mortality, so we must strictly grasp the indications.
