Prevention of postoperative anastomotic leakage of clinical analysis.doc

 PAGE \* MERGEFORMAT 6 Prevention of postoperative anastomotic leakage of clinical analysis Of: Yang Guangming, Meng Bin, Zhang Zhi, Sheng looked at, Chao [Keywords:] esophageal cancer surgery, anastomotic leakage, control In recent years, esophageal cancer has become the most common malignancy in the digestive system, and anastomotic leakage is one of the most serious complications, prolonged hospital stay caused not only economic costs, but also prone to serious chest infections, sepsis disease, died of multiple organ failure [1]. Therefore, reducing the incidence of anastomotic leakage and mortality has been a thoracic surgeon to discuss the issue. This total of 256 cases of esophageal cancer, postoperative anastomotic leakage of 18 cases. now prevention of anastomotic leakage after esophagectomy clinical analysis as follows. 1 Materials and Methods 1.1 Clinical data of the 18 cases, 12 males and 6 females. Aged 28 to 75 years, mean age 46 years. 2 cases of upper thoracic esophageal cancer, breast Section 5 cases, 8 cases of the lower thoracic, cardiac in 3 patients. Left thoracic approach in 5 cases, 13 cases of right chest approach. aortic arch anastomosis in 11 cases, 7 cases of aortic arch anastomosis. anastomotic leakage occurred in the postoperative 2 ~ 9 d, by B-orientation, oral and other wear blue and chest Check after the diagnosis. 1.2 The treatment of this group of 7 patients after anastomotic leakage occurred in 2 ~ 3 d, infected with mild symptoms, B-positioning and CT encapsulated pleural effusion prompted by conservative treatment. To give fasting, gastrointestinal decompression, TPN support, antibiotics and chest drainage. The other 11 patients, fistula occurred in 8 patients after 3 ~ 6 d, 3 fistula occurred after 7 ~ 9 d, poisoning symptoms arrhythmia, X-ray examination prompted a large number of intrathoracic fluid, CT, and B-positioning of non-encapsulated prompted to give the conservative treatment fails, within 24 h