A novel anastomotic vacuum-assisted closure system for cervical anastomotic fistula after three-incisional esophagectomy  

作　　者：Yu-Zhen Zheng Shen-Shen Fu Xian-Yu Qin Xing-Ping Yang Hao-Sheng Zheng Zui Liu Shi-Yun He Wei-Jie Cai Jian Tan Bo-Zhu Jian Hong-Ying Liao 

机构地区：[1]Department of Thoracic Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou,Guangdong,P.R.China [2]Department of Esophageal Surgery,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou,Guangdong,P.R.China [3]Department of Ultrasonography,Guangzhou First People’s Hospital,School of Medicine,South China University of Technology,Guangzhou,Guangdong,P.R.China

出　　处：《Gastroenterology Report》2023年第1期557-559,共3页胃肠病学报道（英文）

基　　金：supported by the National Natural Science Foundation of China[grant number 82102955];the Guangzhou Basic Research Project[grant number 202201011326].

摘　　要：Introduction Surgery remains the mainstay treatment for localized esophageal squamous cell carcinoma(ESCC).In recent years,three-incision McKeown esophagectomy has been widely applied for operable ESCC considering its superiority in acquiring extensive lymphadenectomy and long-termsurvival[1].Cervical anastomotic fistula is one of the most dreaded complications in patients undergoing three-incision esophagectomy;it occurs in almost 10%–25%of patients and is responsible for almost 40%of post-operative deaths[2,3].Most surgeons prefer conservative approaches including perianastomotic drainage,total parenteral nutrition,nasogastric decompression,and the use of broad-spectrum antibiotics for cervical anastomotic fistula[4,5].However,the recovery period under this method is commonly long and unsatisfactory.Until now,the optimal treatment for cervical anastomotic fistula has not yet been established.In this study,we describe a flushingdrainage system under negative pressure conditions to treat cervical anastomotic fistula,named anastomotic vacuum-assisted closure(AVAC).

关 键 词：FISTULA CERVICAL SURGERY 

分 类 号：R571[医药卫生—消化系统]