Struyve M, De Vloo C, Van Veer H, Depypere L, Nafteux P, Roelandt P
Department of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
Department of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg (ZOL), Genk, Belgium.
Acta Gastroenterol Belg. 2019 Oct-Dec;82(4):529-531.
Persisting suture dehiscence with oesophageal anastomotic leaks after thoracic surgery is a difficult complication, especially when a surgical repair fails. We report here endoscopic vacuum-assisted closure therapy as a novel endoscopic treatment for the management of oesophageal anastomotic leaks. Endoscopic vacuum-assisted closure therapy is a minimally invasive method to treat anastomotic leakage by positioning an open-pored polyurethane sponge and a suction tube connected to a wound drainage system into the opening of the wound cavity. This multidisciplinary endoscopic and surgical approach is a successful therapy for the management of suture dehiscence with oesophageal anastomotic leaks after thoracic surgery or oesophageal perforations.
胸外科手术后持续存在的缝线裂开伴食管吻合口漏是一种棘手的并发症，尤其是手术修复失败时。我们在此报告内镜下真空辅助闭合疗法，这是一种用于治疗食管吻合口漏的新型内镜治疗方法。内镜下真空辅助闭合疗法是一种微创方法，通过将开孔聚氨酯海绵和连接到伤口引流系统的吸引管放置在伤口腔开口处来治疗吻合口漏。这种多学科的内镜和手术方法是治疗胸外科手术后缝线裂开伴食管吻合口漏或食管穿孔的成功疗法。
