Using the supercharge technique to additionally revascularize the gastric tube after a subtotal esophagectomy for esophageal cancer

Maintaining sufficient blood flow to the gastric tube after a subtotal esophagectomy for esophageal cancer is crucial for decreasing esophagogastric anastomotic leakage. After subtotal esophagectomy for esophageal cancer, the supercharge technique was performed in 21 esophageal reconstruction patien...

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Bibliographic Details
Published in:The American journal of surgery 2006-02, Vol.191 (2), p.284-287
Main Authors: Yoshimi, Fuyo, Asato, Yuji, Ikeda, Shigeo, Okamoto, Kojun, Komuro, Yasuhiro, Imura, Johji, Itabashi, Masayuki
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carotid arteries
Esophageal cancer
Esophageal Neoplasms - surgery
Esophagectomy
Esophagogastric anastomosis
Esophagoplasty - methods
Female
Fistula
General aspects
Histology
Humans
Laparotomy
Lymphatic system
Male
Medical sciences
Middle Aged
Mortality
Ostomy
Patients
Pneumonia
Quality of life
Retrospective Studies
Stomach, duodenum, intestine, rectum, anus
Stroke
Subtotal esophagectomy
Supercharge technique
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Surgical anastomosis
Vascular anastomosis
Veins & arteries
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Description
Summary:Maintaining sufficient blood flow to the gastric tube after a subtotal esophagectomy for esophageal cancer is crucial for decreasing esophagogastric anastomotic leakage. After subtotal esophagectomy for esophageal cancer, the supercharge technique was performed in 21 esophageal reconstruction patients to additionally revascularize the gastric tube using the splenic artery and vein, external carotid artery, and internal jugular vein. Operative results of the supercharge group were retrospectively compared with those of the control group (patients not receiving the technique). Both operation time and operative blood loss in the supercharge group were significantly longer and larger than those of the control group. However, the incidence of anastomotic leakage was significantly lower in the supercharge group than in the control group. This practical supercharge technique reduces leakage during esophageal anastomosis.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2005.04.019