TY - JOUR
T1 - Post-esophagectomy anastomotic leaks The role of the anastomotic location.
AU - Granone, Pierluigi
AU - Cafarotti, Stefano
AU - Cesario, Alfredo
AU - Porziella, Venanzio
AU - Leuzzi, Giovanni Rosario
AU - Vita, Maria Letizia
AU - Meacci, Elisa
AU - Congedo, Maria Teresa
PY - 2013
Y1 - 2013
N2 - OBJECTIVE: Esophageal anastomotic leaks are associated with significant morbidity and mortality. The purpose of this study was to retrospectively assess the role of the anastomotic positioning (thoracic or cervical) on the incindence of the anastomotic leak and its severity.
METHODS: In the period 2002-07, we have performed extended esophagectomy with a curative-intent in 63 patients with esophageal cancer. The clinical outcome of the 46 patients where a cervical anastomosis was performed (Group A) has been compared with that of the 17 with thoracic anastomosis (Group B), in terms of leak incidence, pattern of healing, morbidity, and mortality.
RESULTS: Leaks occurred in 11% patients of the in group A and in 8% of the group B. When the dehiscence has occurred in the cervical region 1/4th of patients died before the 30th post-operative day compared to the 3/5th of those where the leak occurred at the level of the thorax.
CONCLUSIONS: On the basis of our findings we suggest the adopt the cervical anastomosis due to lower mortality rate related when leaks occur.
KEY WORDS: Post-esophagectomy anastomotic leaks.
AB - OBJECTIVE: Esophageal anastomotic leaks are associated with significant morbidity and mortality. The purpose of this study was to retrospectively assess the role of the anastomotic positioning (thoracic or cervical) on the incindence of the anastomotic leak and its severity.
METHODS: In the period 2002-07, we have performed extended esophagectomy with a curative-intent in 63 patients with esophageal cancer. The clinical outcome of the 46 patients where a cervical anastomosis was performed (Group A) has been compared with that of the 17 with thoracic anastomosis (Group B), in terms of leak incidence, pattern of healing, morbidity, and mortality.
RESULTS: Leaks occurred in 11% patients of the in group A and in 8% of the group B. When the dehiscence has occurred in the cervical region 1/4th of patients died before the 30th post-operative day compared to the 3/5th of those where the leak occurred at the level of the thorax.
CONCLUSIONS: On the basis of our findings we suggest the adopt the cervical anastomosis due to lower mortality rate related when leaks occur.
KEY WORDS: Post-esophagectomy anastomotic leaks.
KW - anastomotic leaks, esophagectomy
KW - anastomotic leaks, esophagectomy
UR - http://hdl.handle.net/10807/52791
M3 - Article
SN - 0003-469X
SP - 137
EP - 141
JO - Annali Italiani di Chirurgia
JF - Annali Italiani di Chirurgia
ER -