食管癌胃切除术后胸内漏的微创管理

Minimally invasive management of intrathoracic leaks after esophagogastrectomy.

作者信息

Nguyen Ninh T, Hinojosa Marcelo W, Fayad Christine, Wilson Samuel E

机构信息

Department of Surgery, University of California, Irvine, Medical Center, Orange, California 92868, USA.

出版信息

Surg Innov. 2007 Jun;14(2):96-101. doi: 10.1177/1553350607303210.

DOI:10.1177/1553350607303210

PMID:17558014

Abstract

Enthusiasm for minimally invasive esophagectomy is increasing. When feasible, the laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy with construction of an intrathoracic anastomosis is favored. A potential catastrophic consequence of an intrathoracic anastomosis is a postoperative leak. In this review, the authors summarize the current understanding of the pathophysiology and the management of intrathoracic leak using minimally invasive surgical techniques.

摘要

对微创食管切除术的热情正在增加。在可行的情况下，腹腔镜和胸腔镜下的Ivor Lewis食管胃切除术并进行胸内吻合术更受青睐。胸内吻合术的一个潜在灾难性后果是术后吻合口漏。在这篇综述中，作者总结了目前对使用微创外科技术治疗胸内吻合口漏的病理生理学和管理的理解。