[Treatment of postoperative complications after surgery for esophageal cancer and cancer of the cardioesophageal junction].
Out of 108 patients with gastric and cardiac cancer and surgical complications, 49 were treated in the routine manner and 59 operatively. The immediate results were equal in either cases: 17 (34.7 +/- 6.8%) of 49 patients and 23 (39.0 +/- 6.35%) of 59 patients died (r = 0.46). However, to compare the results of two therapeutical policies is impossible: the magnitude of pathological changes and the severity of the patients' condition is too incomparable before a decision is made which therapeutical policy is chosen. The largest number of repeated emergency operations (22 patients) was associated with impaired hermiticity of the gastrointestinal tract. The major causes of this abnormality is esophageal anastomotic suture incompetence (2.7%) and graft necrosis (1.0%). Impaired patency in various parts of the gastrointestinal tract occupies the second place in its incidence (20 patients) for which 19 repeated emergency surgical interventions were made. Postoperative bleeding requiring repeated emergency surgical intervention occurred in 0.5%; in all cases, the bleeding was intrathoracic, chylothorax was detected in 1 patient, mediastinitis without disintegrity of the digestive tube was also noted in 1 patient, pancreonecrosis was recorded in 2 cases. Due to the introduction of extensive lymph dissection into these operations in 1990, the frequency of complications increased up to 2.1%.
Davydov
M I
MI
Ryndin
V D
VD
Stilidi
I S
IS
Akbarov
A N
AN
Kuzmichëv
V A
VA
D000714:Anastomosis, Surgical; D016063:Blood Loss, Surgical / Q000517:prevention & control; D004630:Emergencies; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D004943:Esophagogastric Junction / Q000601:surgery; D006801:Humans; D015994:Incidence; D009336:Necrosis; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*
Lechenie khirurgicheskikh oslozhneniĭ posle operatsiĭ pri rake pishchevoda i kardioézophagealńogo perekhoda.