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

Fuyo Yoshimi*, Yuji Asato, Shigeo Ikeda, Kojun Okamoto, Yasuhiro Komuro, Johji Imura, Masayuki Itabashi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

Background: Maintaining sufficient blood flow to the gastric tube after a subtotal esophagectomy for esophageal cancer is crucial for decreasing esophagogastric anastomotic leakage. Methods: 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). Results: 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. Conclusion: This practical supercharge technique reduces leakage during esophageal anastomosis.

Original languageEnglish
Pages (from-to)284-287
Number of pages4
JournalAmerican Journal of Surgery
Volume191
Issue number2
DOIs
StatePublished - 2006/02

Keywords

  • Esophagogastric anastomosis
  • Subtotal esophagectomy
  • Supercharge technique
  • Vascular anastomosis

ASJC Scopus subject areas

  • Surgery

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