TY - JOUR
T1 - Using the supercharge technique to additionally revascularize the gastric tube after a subtotal esophagectomy for esophageal cancer
AU - Yoshimi, Fuyo
AU - Asato, Yuji
AU - Ikeda, Shigeo
AU - Okamoto, Kojun
AU - Komuro, Yasuhiro
AU - Imura, Johji
AU - Itabashi, Masayuki
PY - 2006/2
Y1 - 2006/2
N2 - 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.
AB - 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.
KW - Esophagogastric anastomosis
KW - Subtotal esophagectomy
KW - Supercharge technique
KW - Vascular anastomosis
UR - http://www.scopus.com/inward/record.url?scp=31444451870&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2005.04.019
DO - 10.1016/j.amjsurg.2005.04.019
M3 - 学術論文
C2 - 16442962
AN - SCOPUS:31444451870
SN - 0002-9610
VL - 191
SP - 284
EP - 287
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 2
ER -