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Innovations for Cervical Esophagogastrostomy in Thoracic Esophageal Cancer Operations.
- Source :
-
Anticancer research [Anticancer Res] 2018 Apr; Vol. 38 (4), pp. 2323-2327. - Publication Year :
- 2018
-
Abstract
- Three-field lymph node dissection is now performed in operations for advanced thoracic esophageal cancer, with an associated improvement in outcomes. However, reconstructive surgery following resection of the esophagus is frequently associated with the occurrence of anastomotic leakage. Once it occurs, major problems can arise such as decreased quality of life, protracted hospitalization, or even death. This is why there has been a large number of innovations in and modifications to reconstructive surgery. The standard procedures in our Department for advanced thoracic esophageal cancer are subtotal esophagectomy and three-field lymph node dissection. The thin gastric tube along the greater curvature is used as the reconstructed organ in reconstructive surgery, performing a cervical esophagogastrostomy. Innovations have been made to reconstructive surgery in order to prevent anastomotic leakage. This procedure markedly reduces anastomotic leakage, and also reduces anastomotic stricture, which likely makes it an extremely useful procedure that any surgeon can perform.<br /> (Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Subjects :
- Anastomosis, Surgical methods
Anastomotic Leak epidemiology
Anastomotic Leak etiology
Carcinoma, Squamous Cell epidemiology
Esophageal Neoplasms epidemiology
Esophagectomy adverse effects
Esophagectomy statistics & numerical data
Esophagoplasty statistics & numerical data
Esophagus pathology
Esophagus surgery
Gastrostomy adverse effects
Gastrostomy methods
Humans
Postoperative Complications epidemiology
Postoperative Complications etiology
Plastic Surgery Procedures methods
Plastic Surgery Procedures trends
Stomach pathology
Stomach surgery
Thoracostomy adverse effects
Thoracostomy methods
Thorax
Carcinoma, Squamous Cell surgery
Esophageal Neoplasms surgery
Esophagectomy trends
Gastrostomy trends
Inventions
Neck surgery
Thoracostomy trends
Subjects
Details
- Language :
- English
- ISSN :
- 1791-7530
- Volume :
- 38
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Anticancer research
- Publication Type :
- Academic Journal
- Accession number :
- 29599355
- Full Text :
- https://doi.org/10.21873/anticanres.12477