Медицинская библиотека · Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2006

Reconstruction of upper digestive tract: reducing morbidity by laparoscopic pull-up.

DePaula Aureo L, Macedo Antonio L V, Cernea Claudio R, Schraibman Vladimir, Pinus Jacques, Milanez José R, Succi José E, Hojaij Flávio C, de Carlucci Dorival, Nishio Sunao

СтатьяПеревод в очереди

Аннотация

BACKGROUND

Gastric pull-up is a useful method for reconstruction of the upper digestive tract, with considerable morbidity/mortality, especially in esophageal cancers (EC).

OBJECTIVE

To analyze the experience of a multidisciplinary team with a laparoscopic gastric pull-up (LGPU) method, with or without thoracoscopy, in a series of 120 patients with EC.

STUDY

DESIGN

Retrospective.

PATIENTS AND

METHODS

From 1992 to 2004, 120 EC [cervical/cervicothoracic (3.0%), middle third (15.0%), and inferior third (82.0%)]. Most were squamous cell carcinomas (47.0%) and adenocarcinomas (34.0%). Stomach was dissected and mobilized exclusively by laparoscopy. Occasionally, laparoscopic approach was extended cranially, until connecting with cervical dissection. In other cases, dissection of thoracic esophagus was accomplished through a thoracoscopic approach.

RESULTS

Eighty-one patients (68.0%) had LGPU; 39 (32.0%) needed thoracoscopy. Mortality was 5.9%. Complications were fistula (10.0%) and pneumonia (10.0%). All fistulae closed spontaneously; 89.2% of patients could swallow a normal oral diet.

CONCLUSION

Low morbidity/mortality of LGPU for EC compared favorably with conventional techniques.

Для цитирования: DePaula Aureo L, Macedo Antonio L V, Cernea Claudio R, Schraibman Vladimir, Pinus Jacques, Milanez José R, Succi José E, Hojaij Flávio C, de Carlucci Dorival, Nishio Sunao. Reconstruction of upper digestive tract: reducing morbidity by laparoscopic pull-up.. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2006. DOI: 10.1016/j.otohns.2006.04.019.

Предметные рубрики MeSH

Adenocarcinoma Carcinoma, Squamous Cell Esophageal Neoplasms Esophagoplasty Female Humans Laparoscopy Male Middle Aged Patient Care Team Pharynx Postoperative Complications Plastic Surgery Procedures Retrospective Studies Stomach Thoracoscopy Treatment Outcome

Подготовка и перевод публикации

Обработка статьи · этапы, ошибки и управление

Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Тип публикации указан по данным источника. Уровень доказательности автоматически не присваивается.