Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, 185 Pilgrim Road, W/D 201, Boston, MA 02215, USA.
Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, 185 Pilgrim Road, W/D 201, Boston, MA 02215, USA.
Thorac Surg Clin. 2020 Aug;30(3):315-320. doi: 10.1016/j.thorsurg.2020.04.009. Epub 2020 May 22.
Esophagectomy is a major operation whereby intraoperative technique and postoperative care must be optimal. Even in expert hands, the complication rate is as high as 59%. Here the authors discuss the role of surgical adjuncts, including enteral access, nasogastric decompression, pyloric drainage procedures, and anastomotic buttressing as adjuncts to esophagectomy and whether they reduce perioperative complications.
食管切除术是一种大手术，术中技术和术后护理必须是最佳的。即使在专家手中，并发症发生率也高达 59%。本文作者讨论了手术辅助手段的作用，包括肠内通路、鼻胃减压、幽门引流术和吻合口支撑作为食管切除术的辅助手段，以及它们是否能降低围手术期并发症。
