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01-05-2019 | Esophageal Cancer | Original Article

Anastomotic leakage following retrosternal pull-up

Authors: Sohei Matsumoto, Kohei Wakatsuki, Kazuhiro Migita, Hiroshi Nakade, Tomohiro Kunishige, Shintaro Miyao, Masayuki Sho

Published in: Langenbeck's Archives of Surgery | Issue 3/2019

Abstract

Purpose

Narrow thoracic inlet might be associated with increased incidence of cervical anastomotic leakage (AL) after esophagectomy with retrosternal reconstruction. We retrospectively evaluated the relationship of the length from the suprasternal notch to the trachea (LST) and AL using computed tomography.

Methods

In this retrospective study including 121 patients with esophageal cancer who underwent subtotal esophagectomy with retrosternal reconstruction between 2008 and 2016, clinicopathological characteristics, including the LST, surgical procedures, and perioperative outcomes, were compared between the AL and non-AL groups.

Results

AL occurred in 19 of the 121 patients (15.7%). There were no associations between AL development and age, sex, body mass index, tumor location, TNM stage, histological type, surgical approach, or type of the anastomotic procedure. Surgery duration was longer in the AL group than in the non-AL group (p = 0.004). Other surgical factors such as intra-operative blood loss and anastomotic technique were not associated with AL. LST was significantly shorter in the AL group than in the non-AL group (p < 0.001). Multivariate analysis revealed that LST was a significant predictor of AL (p < 0.001).

Conclusion

LST is a simple and useful predictor of AL after esophagectomy with retrosternal reconstruction.

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Title: Anastomotic leakage following retrosternal pull-up
Authors: Sohei Matsumoto
Kohei Wakatsuki
Kazuhiro Migita
Hiroshi Nakade
Tomohiro Kunishige
Shintaro Miyao
Masayuki Sho
Publication date: 01-05-2019
Publisher: Springer Berlin Heidelberg
Keywords: Esophageal Cancer
Esophagus Resection
Esophageal Cancer
Esophagus Resection
Published in: Langenbeck's Archives of Surgery / Issue 3/2019
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-019-01765-2

At a glance: The STEP trials

Springer Medicine

Anastomotic leakage following retrosternal pull-up

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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