Clinical analysis of 41 cases of cervical anastomotic fistula after thoracic laparoscopic combined with esophageal cancer resection

Abstract

Objective To investigate the treatment and managment for cervical anastomotic fistula after thoracic laparoscopic combined with esophageal cancer resection. Methods The data of 41 cases of cervial anastomotic fistula after thoracic laparoscopie combined with esophageal cancer resection in the Department of Thoracic Surgery of Medical College of Yangzhou University from January 2015 to March 2017 were reviewed. Results In the 41 cases of cervial anastomotic fistula, 26 cases started to take liquid food within 4 to 14 days after anastomotic and no abnormal symptoms such as incisional leakage, chest distress or asthma occurred. While 11 cases started to take liquid food within 15 to 28 days after anastomotic fistula without abnormal manifestation. And 4 cases began to take liquid food after anastomotic fistula within 29 to 60 days later after anastomotic fistula, and upper gastrointestinal contrast examination suggested that anastomotic stoma healed. No one died or underwent the second operation during hospitalization. Conclusions Fasting, smooth drainage around the anastomosis, and enteral nutrition support are the keys to treatment cervical anastomotic fistula after thoracic laparoscopic combined with esophageal cancer resection. Early detection and active treatment contribute to promoting rapid cervical anastomotic fistula healing. Key words: Esophageal cancer; Thoracic laparoscopic; Anastomotic fistula; Hand-sewn