Esophageal and gastric cardia prevention of postoperative anastomotic leakage.docVIP

 PAGE \* MERGEFORMAT 7 Esophageal and gastric cardia prevention of postoperative anastomotic leakage Anastomotic leakage after resection of esophageal and gastric cardia major complications. In this paper, treated from 1998 to 2007 review of 492 cases of data analysis, summed up the importance of the prevention of anastomotic leakage factor. 1 Clinical data 362 cases of male and female 130 cases. Aged 48 to 72 years, median age 61 years. Clearly were 282 cases of weight loss, decreased body weight 9.27kg. Squamous cell carcinoma, 405 cases, 83 cases of adenocarcinoma, adenosquamous carcinoma in 2 cases, carcinosarcoma 2 cases to 492 cases divided into two groups according to treatment time, from 2002 to May 2003 for the treatment of 195 cases of group eight years ago, in June 2003 to 2007 for the treatment of 297 cases in 10 years after the group of patients in group .8 The incidence of anastomotic leakage after 10.76% (21/195). 13.33% operative mortality (26/195) .10 years were no anastomotic leakage, mortality was 2.02% (6 / 297). 2 Discussion 2.1 esophageal and gastric cardia anastomotic fistula rate in recent years has dropped somewhat, but the consequences are still serious. Practice has shown that anastomotic leakage and pathological classification, staging, and clinical classification has nothing to do. Hospital nine cases of surgical cutting edge of esophageal pathology identified residual cancer cells were no anastomotic leakage occurred in 1 case, indicating that the relationship only after surgical resection without affecting anastomotic healing. incision decided after the exposure conditions, poor choice inevitably affect the tumor resection and anastomosis quality of Schedule 2 provides for 8 years 21 cases of anastomotic leakage distribution ratio can be seen, consistent with the location, type of transplant organs and the anastomosis esophageal fistula is caused by the relevant factors. neck and arch anastomosis were sign