Using the supercharge technique to additionally revascularize the gastric tube after a subtotal esophagectomy for esophageal cancer - 17/08/11
, Yuji Asato, M.D. a, Shigeo Ikeda, M.D., Ph.D. a, Kojun Okamoto, M.D., Ph.D. a, Yasuhiro Komuro, M.D., Ph.D. a, Johji Imura, M.D., Ph.D. b, Masayuki Itabashi, M.D., Ph.D. b
Corresponding author. Tel.: +81-296-77-1121; fax: +81-296-77-2886.Abstract |
Background |
Maintaining sufficient blood flow to the gastric tube after a subtotal esophagectomy for esophageal cancer is crucial for decreasing esophagogastric anastomotic leakage.
Methods |
After subtotal esophagectomy for esophageal cancer, the supercharge technique was performed in 21 esophageal reconstruction patients to additionally revascularize the gastric tube using the splenic artery and vein, external carotid artery, and internal jugular vein. Operative results of the supercharge group were retrospectively compared with those of the control group (patients not receiving the technique).
Results |
Both operation time and operative blood loss in the supercharge group were significantly longer and larger than those of the control group. However, the incidence of anastomotic leakage was significantly lower in the supercharge group than in the control group.
Conclusion |
This practical supercharge technique reduces leakage during esophageal anastomosis.
Le texte complet de cet article est disponible en PDF.Keywords : Subtotal esophagectomy, Esophagogastric anastomosis, Supercharge technique, Vascular anastomosis
Plan
Vol 191 - N° 2
P. 284-287 - février 2006 Retour au numéro
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