Mitchell John D
Section of Thoracic Surgery, University of Colorado School of Medicine, Denver 80262, USA.
Thorac Surg Clin. 2006 Feb;16(1):1-9. doi: 10.1016/j.thorsurg.2006.01.011.
Anastomotic leaks continue to be a source of considerable morbidity and mortality after esophageal resection. Careful attention to the contributing factors to the development of a leak, particularly conduit ischemia and anastomotic technique, can reduce the incidence of anastomotic complications postoperatively. Selective management of leaks, including non-operative treatment when indicated, will maximize the chance for a successful outcome.
吻合口漏仍是食管切除术后相当一部分发病和死亡的原因。仔细关注导致吻合口漏发生的因素,尤其是管道缺血和吻合技术,可降低术后吻合口并发症的发生率。对吻合口漏进行选择性处理,包括在有指征时进行非手术治疗,将使获得成功结果的机会最大化。