A novel anastomotic vacuum-assisted closure system for cervical anastomotic fistula after three-incisional esophagectomy
作者机构：Department of Thoracic SurgeryThe Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China Department of Esophageal SurgeryThe Sixth Affiliated HospitalSun Yat-sen UniversityGuangzhouGuangdongP.R.China Department of UltrasonographyGuangzhou First People’s HospitalSchool of MedicineSouth China University of TechnologyGuangzhouGuangdongP.R.China
出 版 物：《Gastroenterology Report》 (胃肠病学报道（英文）)
年 卷 期：2023年第11卷第1期
页 面：557-559页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：supported by the National Natural Science Foundation of China[grant number 82102955] the Guangzhou Basic Research Project[grant number 202201011326]
摘 要：Introduction Surgery remains the mainstay treatment for localized esophageal squamous cell carcinoma(ESCC).In recent years,three-incision McKeown esophagectomy has been widely applied for operable ESCC considering its superiority in acquiring extensive lymphadenectomy and long-termsurvival[1].Cervical anastomotic fistula is one of the most dreaded complications in patients undergoing three-incision esophagectomy;it occurs in almost 10%–25%of patients and is responsible for almost 40%of post-operative deaths[2,3].Most surgeons prefer conservative approaches including perianastomotic drainage,total parenteral nutrition,nasogastric decompression,and the use of broad-spectrum antibiotics for cervical anastomotic fistula[4,5].However,the recovery period under this method is commonly long and *** now,the optimal treatment for cervical anastomotic fistula has not yet been *** this study,we describe a flushingdrainage system under negative pressure conditions to treat cervical anastomotic fistula,named anastomotic vacuum-assisted closure(AVAC).
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