The European journal of surgery = Acta chirurgica · 2001
Impact of fundus rotation gastroplasty on anastomotic complications after cervical and thoracic oesophagogastrostomies: a prospective non-randomised study.
Клиническое исследованиеСравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Schilling M K, Eichenberger M, Wagener V, Stoupis C, Büchler M W
Аннотация
OBJECTIVE: To find out the leak rate after cervical or thoracic anastomoses of oesophagus to fundus rotation gastric tubes after oesophagectomy.
DESIGN: Prospective non-randomised study.
SETTING: University hospital. Switzerland.
SUBJECTS: 95 patients, of whom 62 had cervical and 33 thoracic anastomoses.
INTERVENTIONS: Anastomoses were hand sewn in two layers between oesophagus and a gastric tube, that was elongated by 30% by a stapled fundus rotation gastroplasty. Anastomotic patency was studied clinically and radiographically between the 5th and 7th postoperative days.
RESULTS: Five of the 62 patients had a clinical or radiological anastomotic leak (8%) in the neck and 2 of the 33 patients in the thorax (6%). Six patients died, one death being the result of a leak.
CONCLUSION: Length and blood supply of fundus rotation gastroplasty tubes allows for safe anastomoses at thoracic and cervical levels.
DESIGN: Prospective non-randomised study.
SETTING: University hospital. Switzerland.
SUBJECTS: 95 patients, of whom 62 had cervical and 33 thoracic anastomoses.
INTERVENTIONS: Anastomoses were hand sewn in two layers between oesophagus and a gastric tube, that was elongated by 30% by a stapled fundus rotation gastroplasty. Anastomotic patency was studied clinically and radiographically between the 5th and 7th postoperative days.
RESULTS: Five of the 62 patients had a clinical or radiological anastomotic leak (8%) in the neck and 2 of the 33 patients in the thorax (6%). Six patients died, one death being the result of a leak.
CONCLUSION: Length and blood supply of fundus rotation gastroplasty tubes allows for safe anastomoses at thoracic and cervical levels.