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Management of oesophageal anastomosis dehiscence after oesophagectomy for oesophageal cancer


Authors: D. Šiška;  M. Janík;  K. Tarabová;  P. Lauček;  P. Juhos;  M. Lučenič;  R. Benej
Authors place of work: Klinika hrudníkovej chirurgie Slovenskej zdravotníckej univerzity a Univerzitná nemocnica Bratislava
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 5, s. 200-206.
Category: Review
doi: https://doi.org/10.33699/PIS.2020.99.5.200–206

Summary

Oesophagectomy is being used in treatment of several oesophageal diseases, most commonly in treatment of oesophageal cancer. It is a major surgical procedure that may result in various complications. One of the most severe complications is anastomotic dehiscence between the gastric conduit and the oesophageal remnant. Anastomotic dehiscence after esophagectomy is directly linked to high morbidity and mortality. We propose a therapeutic algorithm of this complication based on published literature and our experience by retrospective evaluationof 164 patients who underwent oesophagectomy for oesophageal cancer. Anastomotic dehiscence was present in 29 cases.

Keywords:

oesophageal cancer – oesophagectomy complication – anastomic leak – management of dehiscence – oesophageal stent


Zdroje
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Štítky
Surgery Orthopaedics Trauma surgery
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