[Esophago-digestive anastomosis dehiscence]
| Autor: | Vasile, I., Mirea, C., Vilcea, I. D., Pasalega, M., Calota, F., Cristian Mesina, Cheie, M., Dumitrescu, T., Mogoanta, S., Tenea, T., Radu, V., Moraru, E. |
|---|---|
| Předmět: |
Adult
Aged 80 and over Male Adolescent Colon Anastomosis Surgical Jejunostomy Middle Aged Esophageal Diseases Survival Analysis Esophagectomy Esophagus Jejunum Treatment Outcome Gastrectomy Risk Factors Colostomy Surgical Wound Dehiscence Humans Female Esophagogastric Junction Digestive System Surgical Procedures Aged Retrospective Studies |
| Zdroj: | Europe PubMed Central Publons |
| Popis: | This paper aim is to discuss the main etiopathogenic aspects responsible for eso-digestive anastomotic leakage, as well as prophylactic and therapeutic measures of this postoperative complication. There were studied 173 consecutive eso-digestive anastomosis: 103 anastomosis performed for malignancy and 70 anastomosis for benign conditions. Surgical operations followed by an eso-digestive anastomosis were: esophageal reconstruction for benign esophageal caustic strictures (n=67); total gastrectomy (n=55); total esophagectomy (n=13); total esophagectomy plus total gastrectomy (one case); eso-gastrectomies (n=34); upper gastric pole resection (n=2); distal esophageal resection (n=1). Eso-digestive anastomosis topography were cervical (n=81), intrathoracic (n=37) and abdominal (n=57). There were 30 eso-gastrostomies, 81 eso-jejunostomies, and 62 eso-colostomies. There were recorded 24 eso-digestive anastomotic dehiscences (13.8%): 14 in the cervical region (17.2% out of 81 cervical anastomosis); 5 intrathoracic leakages (14.2% out of 35 anastomosis); 5 intraabdominal anastomotic dehiscences (8.7% out of 57 intraabdominal anastomosis). Four patients died as an anastomotic leakage consequence: two patients died after cervical eso-gastrostomy dehiscences, one patient died after an intrathoracic eso-jejunostomy leakage, and one patient died after intraabdominal eso-gastrostomy leakage. In conclusion, we analyze postoperative results, emphasizing the role of discovering and removal of predisposing factors which may lead to an eso-digestive anastomotic leakage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|