PROCHÁZKA, Vladimír, Filip MAREK, Lumír KUNOVSKÝ, Roman SVATOŇ, Tomáš GROLICH, Petr MORAVČÍK, Martina FARKAŠOVÁ and Zdeněk KALA. Comparison of cervical anastomotic leak and stenosis after oesophagectomy for carcinoma according to the interval of the stomach ischaemic conditioning. ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND. LONDON: ROYAL COLL SURGEONS ENGLAND, 2018, vol. 100, No 7, p. 509-514. ISSN 0035-8843. Available from: https://dx.doi.org/10.1308/rcsann.2018.0066. |
Other formats:
BibTeX
LaTeX
RIS
@article{1473277, author = {Procházka, Vladimír and Marek, Filip and Kunovský, Lumír and Svatoň, Roman and Grolich, Tomáš and Moravčík, Petr and Farkašová, Martina and Kala, Zdeněk}, article_location = {LONDON}, article_number = {7}, doi = {http://dx.doi.org/10.1308/rcsann.2018.0066}, keywords = {Anastomotic leak; Anastomotic stenosis; Oesophageal carcinoma; Minimally invasive oesophagectomy; Stomach ischaemic conditioning}, language = {eng}, issn = {0035-8843}, journal = {ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND}, title = {Comparison of cervical anastomotic leak and stenosis after oesophagectomy for carcinoma according to the interval of the stomach ischaemic conditioning}, volume = {100}, year = {2018} }
TY - JOUR ID - 1473277 AU - Procházka, Vladimír - Marek, Filip - Kunovský, Lumír - Svatoň, Roman - Grolich, Tomáš - Moravčík, Petr - Farkašová, Martina - Kala, Zdeněk PY - 2018 TI - Comparison of cervical anastomotic leak and stenosis after oesophagectomy for carcinoma according to the interval of the stomach ischaemic conditioning JF - ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND VL - 100 IS - 7 SP - 509-514 EP - 509-514 PB - ROYAL COLL SURGEONS ENGLAND SN - 00358843 KW - Anastomotic leak KW - Anastomotic stenosis KW - Oesophageal carcinoma KW - Minimally invasive oesophagectomy KW - Stomach ischaemic conditioning N2 - BACKGROUND Stomach preparation by ischaemic conditioning prior to oesophageal resection represents a potential method of reducing the risk of anastomotic complications. This study compares the results of the anastomotic complications of cervical anastomosis after oesophagectomy with a short interval after ischaemic conditioning (group S) and a long interval (group L). METHODS Subjects undergoing oesophagectomy for carcinoma after ischaemic conditioning were divided into two groups. Group S had a median interval between ischaemic conditioning and resection of 20 days, while for group L the median interval was 49 days. Anastomotic leak and anastomotic stenosis in relation to the interval between ischaemic conditioning and actual resection were followed. RESULTS After ischaemic conditioning, 33 subjects in total underwent surgery for carcinoma; 19 subjects in group S and 14 subjects in group L. Anastomotic leak incidence was comparable in both groups. Anastomotic stenosis occurred in 21% of cases in group S and 7% of cases in group L (not statistically significant). CONCLUSION A long interval between ischaemic conditioning and oesophagectomy does not adversely affect the postoperative complications. A lower incidence of anastomosis stenoses was found in subjects with a longer interval, however, given the size of our sample, the statistical significance was not demonstrated. Both groups seem comparable in surgical procedure course and postoperative complications. ER -
PROCHÁZKA, Vladimír, Filip MAREK, Lumír KUNOVSKÝ, Roman SVATOŇ, Tomáš GROLICH, Petr MORAVČÍK, Martina FARKAŠOVÁ and Zdeněk KALA. Comparison of cervical anastomotic leak and stenosis after oesophagectomy for carcinoma according to the interval of the stomach ischaemic conditioning. \textit{ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND}. LONDON: ROYAL COLL SURGEONS ENGLAND, 2018, vol.~100, No~7, p.~509-514. ISSN~0035-8843. Available from: https://dx.doi.org/10.1308/rcsann.2018.0066.
|