Intrathoracic esophagus after esophageal cancer - gastric anastomotic leakage in 3 cases of clinical analysis of.docVIP

 PAGE \* MERGEFORMAT 11 Intrathoracic esophagus after esophageal cancer - gastric anastomotic leakage in 3 cases of clinical analysis of [Keywords:] cancer; esophagus; esophagus - gastric anastomotic fistula; post-operative complications; treatment outcome Resection of thoracic esophageal cancer esophagus - thoracic anastomotic fistula is a serious complication after surgery, is one of the key to the success of surgical treatment of esophageal cancer. Reported in the literature after resection of thoracic esophageal anastomotic fistula occurrence rate of 3% ~ 5%, case fatality rate as high as 50% [1,2]. Therefore, the prevention and correctly handle the esophagus - gastric anastomotic leakage, to ensure the successful operation and lower esophageal cancer mortality rate of patients of great significance. 2004 -2,007 years were treated esophagus, cardia 92 cases occurred within the thoracic esophageal anastomotic leakage in 3 cases, the incidence of 3.26%, will now report on treatment of the following. A clinical data 1.1 General Information 3 patients in this group of patients, including 2 males and 1 female; aged 46 to 70 years old, arch anastomosis in 2 cases, under the arch anastomosis in 1 case. Fistula occurred after 4 ~ 9 d. 1.2 Symptoms and signs Postoperative chest pain, sudden high fever (amp;gt; 39.0 ℃ , 1 case of fever after eating), chills, chest tightness, shortness of breath, and varying degrees of difficulty breathing, chest drainage of a turbid pleural fluid, there is corruption of smell flavor. Pleural effusion can occur when an increase in chest percussion dullness, breath sounds weaker. 1.3 Laboratory tests Routine blood test showed white blood cellsamp;gt; 20.0 * 109 / L, neutrophil amp;quot;85%; chest X-ray and chest CT examination revealed pleural effusion, or there are signs of product gas; esophageal Lipiodol angiography Lipiodol into the anastomosis was found chest; patients oral methylene blue solution, chest tube drainage of