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Langenbeck's Archives of Surgery

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Open Access 01-12-2020 | Esophagus Resection | Review Article

Strategies to prevent anastomotic leakage after esophagectomy and gastric conduit reconstruction

Authors: Diana Vetter, Christian A. Gutschow

Published in: Langenbeck's Archives of Surgery | Issue 8/2020

Abstract

Background

Surgery remains the cornerstone of esophageal cancer treatment but is burdened with high procedure-related morbidity. Anastomotic leakage as the most important surgical complication after esophagectomy is a key indicator for quality in surgical outcome research.

Purpose

The aim of this narrative review is to assess and summarize the current knowledge on prevention of anastomotic leakage after esophagectomy and to provide orientation for the reader in this challenging field of surgery.

Conclusions

There are various strategies to reduce postoperative morbidity and to prevent anastomotic leakage after esophagectomy, including adequate patient selection and preparation, and many technical-surgical and anesthesiological details. The scientific evidence regarding those strategies is highly heterogeneous, ranging from expert’s recommendations to randomized controlled trials. This review is intended to serve as an empirical guideline to improve the clinical management of patients undergoing esophagectomy with a special focus on anastomotic leakage prevention.

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Title: Strategies to prevent anastomotic leakage after esophagectomy and gastric conduit reconstruction
Authors: Diana Vetter
Christian A. Gutschow
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Esophagus Resection
Esophagus Resection
Published in: Langenbeck's Archives of Surgery / Issue 8/2020
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-020-01926-8

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Strategies to prevent anastomotic leakage after esophagectomy and gastric conduit reconstruction

Abstract

Background

Purpose

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Purpose

Conclusions

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