INTRATHORACIC STAPLED ANASTOMOSIS AFTER OESOPHAGECTOMY FOR CANCER
| Autor: | Arthur K.C. Li, L. J. Mcguire, Scs Chung, T. J. Crofts, S. D. S. Woods |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty Esophageal Neoplasms Anastomosis Esophagus Surgical Staplers Humans Medicine Brain abscess Aged business.industry Stomach Chylothorax General Medicine Middle Aged Bleed medicine.disease Occult Surgery medicine.anatomical_structure Thoracotomy Respiratory failure Carcinoma Squamous Cell Female business |
| Zdroj: | ANZ Journal of Surgery. 59:647-651 |
| ISSN: | 1445-2197 1445-1433 |
| DOI: | 10.1111/j.1445-2197.1989.tb01649.x |
| Popis: | Fifty consecutive oesophagectomies for cancer are reported which were performed using a two-stage technique with an intralhoracic stapled anastomosis. The oesophagus was resected through a right ihoracotomy. Continuity was restored using ortholopic stomach, mobilized through an abdominal incision and anastomosed to the oesophagus at the apex of the thorax. No deaths occurred within 30 days, but two patients died without leaving hospital. Routine contrast study revealed no anastomotic leaks. Major complications were: chylothorax (one), transient bilateral recurrent laryngeal nerve palsy (one), anastomotic bleed (one), respiratory failure (one) and brain abscess (one). Four upper resection margins contained tumour (all in middle third tumours). With this technique, a reliable anastomosis can be made high in the chest. The amount of oesophagus removed is comparable with that obtained with the ‘three-stage’ or transhiatal procedures. The problem of occult submucosal spread in oesophageal tumours remains. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text