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Empyema following intrathoracic leakage from anastomosis is a severe complication of surgery for esophageal cancer. We present a case report of successful intracavitary urokinase therapy for pleural empyema resulting from leakage from an intrathoracic esophagojejunostomy.
The aim of the present study was to evaluate the safety of mediastinal microdialysis and its efficacy regarding the early diagnosis of anastomotic leakage after gastroesophageal resection for esophageal cancer. Eight consecutive patients were included; one patient was excluded for reasons of catheter malfunction. The tip of the mediastinal microdialysis catheter was placed close to the anastomosis...
Background Adequate blood supply for the reconstructed organ is important for safe esophagogastric anastomosis during esophagectomy. Recently, indocyanine green (ICG) has been used for visualization of the blood supply when anastomosis is performed in vascular surgery. To visualize the blood supply for reconstruction, we employed ICG fluorescence during esophagectomy. Methods From August 2008, 40...
Anastomotic leakage is one of the major complications that can occur after an esophagectomy. We report on the advantages of a computer-controlled portable vacuum pump system, Thopaz®, for intraluminal continuous decompression and drainage in the non-surgical management of cervical anastomotic leakage. Continuous decompression with negative pressure of 20 cm H2O was set at the anastomotic leakage point...
Background Esophagogastric anastomosis performed after esophagectomy is technically complex and often the source of postoperative complications. The best technique for this anastomosis remains a matter of debate. We describe a new all-stapled side-to-side anastomosis, which we refer to as triple-stapled quadrilateral anastomosis (TRIQ), that can be performed after minimally invasive surgery, and we...
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