Anastomotic leakage in esophageal stenosis cardiac

yxfbbiedtj · Wysłany: Pią 19:11, 25 Mar 2011

Anastomotic leakage in esophageal stenosis cardiac prevention

63 cases, no anastomotic leakage and stenosis, save the power of good. Are as follows. Feng Pi 1 1 clinical data. free after resection of esophageal 2r-. ashamed after esophageal mediastinal pleura with interrupted suture remnant stomach muscle pulp: j needles, suture flutter in the stomach and esophageal barrier layer n and then suture the esophagus and the anterior mediastinal pleura consistent 【) F2m stomach muscle plasma Q suture cover kiss off the apron and treatment outcome: There was no anastomotic leakage and mortality were followed up】 years, review the anastomotic diameter than the lc Ⅲ, no anastomotic stenosis Shí intestinal worm Group: 19B7 82 years of a l988 cases of carcinoma of the lower esophagus in 24 cases, nurture fJ addiction 5H cases, h2 cases, Shu 20 patients, aged from 31 to 77 years, almost all 5.1: intraoperative therapy: using the traditional full-thickness esophageal and gastric remnant suture, plus self. myometrial muscle associated with the joint helmet pulp treatment units' results: The overall anastomotic leakage occurred in 5 cases, 6.09% died l cases. were followed up 1 year in the 0.6c Ⅲ mouth kiss sets the following 7 cases, 8.5% 2 discussions & pipe gong anastomosis of esophageal cancer, the most common cardiac resection and reconstruction of the digestive tract and methods of production H {proscenium can kiss good healing, and patients often kiss the umbrella weed status and related surgical units is the key to successful operation in recent years, reported an outer H n, anastomotic leakage rate was ~ {%, E 38.1% and a death rate of 53.6% in between the lack of 7 arch anastomotic stricture. I in 0.9% 27.6% Taiwan mouth kiss this leakage control group was 6.09%, stenosis 8.5%, 20% mortality rate of anastomotic leakage and stenosis due to tangled with a variety of relevant, improve patient before and after surgery base body nutritional status,[link widoczny dla zalogowanych], anastomosis, adequate blood supply, to avoid anastomotic tension, compression, damage infection is consistent with a guarantee of success at present. common gastric sleeve sewn-in blanket bench method of vascular anastomosis easily lead to distortions in the formation of an acute angle change, lymph poor venous return. to edema. fragility, reduced resistance to infectious, leading to the Ministry of anastomotic leakage, blood flow obstacle kiss sets, so that excessive proliferation of fibrous tissue, the outer muscle layer was sutured embedding the inner valve-like varus due to scar contraction. localized infections, are easily lead to stenosis kiss Taiwan 3-5 days before surgery in this group of patients in poor nutritional status of parenteral nutrition support (PNS), increased total protein, albumin levels . to improve the patient's nutritional status and immune function in surgical Tang l0 given 7 days a PNS to protect energy supply, reduce the negative nitrogen balance and promote protein sets into. improve the success of the operation. The group of single layer suture surgery and rehabilitation with the mediastinal pleura stoma cover, sticking tight, good adhesion, so that the healing process of mouth kiss homes have a more relaxed external environment. We believe that the following advantages:, free short】 esophageal anastomosis, only the barrier layer suture and anastomotic blood supply and good tissue healing, fibrous tissue hyperplasia (at) mediastinal pleura toughness, reduce match [J tension, the anastomosis can be quickly and adhesion, inflammation limited to 3 sets to kiss the mouth tissue to be sutured small and shallow to avoid any tension joints esophagus when the stomach muscle strain or tear, reference 1 Yanyun Peng Li Xian. Zhangbo Sheng. esophageal gastric monolayer of a double-kiss kiss § j report the clinical waste ship fruit comparison. feast with surgery, 1992:2