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KMID : 0364019910240050463
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Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 5 p.463 ~ p.469
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Treatment of the complications of the esophageal reconstructive procedures
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Abstract
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Post-anastomotic leakage and stenoses remain major complications and are still responsible for many mortalities after esophageal reconstructive procedures.
If the hand-suture is used, anastomotic leaks developed frequently than stenoses.
But post-anastomotic leakages are more critical than post-anastomotic stenoses.
If the stapler is used, anastomotic stenoses will develop frequently and not critical than anastomotic leakages.
The stapler suture method is ea: pier and quicker than the hand suture method in the esophageal anastomotic procedures.
But the disavantages of the stapler suture method is that there is not reachabele site with anastomotic stapler the thoracic inlet region and the cost is expensive.
We have treated 44 cases of the surgical complications after esophageal reconstructive procedure with conservative and surgical treatment for 10 years from January, 1980 to Dec-ember, 1989.
The anastomotic site stenoses were 8 cases in the hand-suture methods and 4 cases in the stapler-suture methods.
The anastomotic leaks were 8 cases in hand-suture methods and 5 cases in stapler-suture methods.
There were one death in the surgical repair of four post-operative anastomotic stenoses and two deaths in the surgical repair of three post-operavie anastomotic leakages.
Ever though we consider that there is more anastomotic leakage than stenoses after the hand-suture methods in esophageal reconsturctive procedures.
the cost with long stay in the intensive care unit to treat anastomotic leakage after the hand-suture, would be more expensive than-the cost of the treatment of the anastomotic stenoses after auto-suture.
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