Progress in clinical management of anastomotic leakage after esophageal cancer surgery

doi:10.3877/cma.j.issn.2095-8773.2023.01.09

Abstract

Abstract:

Esophageal carcinoma is one of the most common malignant tumors in China. At present, the main treatment regimen for resectable esophageal cancer is still surgery. Anastomotic leakage is a common complication after esophagectomy. Its clinical manifestations are extremely complex, ranging from asymptomatic to sepsis with multiple organ failure. The occurrence of anastomotic leakage will increase the 90-day mortality of patients and impose medical and financial burden to physicians and patients. The prevention of anastomotic leakage and the rational choice of treatment can benefit patients significantly. Currently, the clinical treatment of postoperative anastomotic leakage mainly includes conservative treatment, non-operative treatment and operative treatment. It is generally believed that the treatment should be chosen according to the characteristics of anastomotic leakage, but there is no consensus on which treatment benefits the patients most. Therefore, more clinical data are currently needed to prove the advantages of a certain treatment for definite indications, so as to assist the physicians to make the optimal choice.

Key words: Esophageal cancer, Postoperative complications, Anastomotic leakage, Management

Kaiyuan Zhu, Zhigang Li. Progress in clinical management of anastomotic leakage after esophageal cancer surgery[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2023, 10(01): 50-56.

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