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AIM:To develop a technique of sleeve-wrapping thepedicled omentum around the esophagogastric anastomosis for preventing and localizing leakage.METHODS:This study includes data from 86 patientswho were diagnosed with esophageal cancer and underwent the technique of sleeve-wrapping the pedicledomentum around esophagogastric anastomosis afteresophagectomy between November 2011 and July 2013.The early complications that occurred during follow-upwere analyzed.RESULTS:Postoperative complications included pulmonary complications(13/86;15.1%)and abdominal orthoracic wound infection(3/86;3.5%).Complicationsthat occurred during follow-up included one case ofanastomosis leakage(limited by omentum;1.2%)andfive case of anastomosis stricture(5.8%).No deathsoccurred.All complications were resolved through traditional treatment.No additional surgery was needed.CONCLUSION:Sleeve-wrapping of the pedicled omentum around esophagogastric anastomosis after esophagectomy is safe and effective for preventing and localizing anastomosis leakage without increasing anastomosis stricture.
AIM: To develop a technique of sleeve-wrapping thepedicled omentum around the esophagogastric anastomosis for preventing and localizing leakage. METHODS: This study includes data from 86 patientswho were diagnosed with esophageal cancer and underwent the technique of sleeve-wrapping the pedicledomentum around esophagogastric anastomosis afteresophagectomy between November 2011 and July 2013.The early complications that occurred during follow-upwere analyzed .RESULTS: Postoperative complications included pulmonary complications (13/86; 15.1%) and abdominal orthoracic wound infection (3/86; 3.5%). Complication occurred during during follow-up included one case ofanastomosis leakage (limited by omentum; 1.2%) andfive case of anastomosis stricture (5.8%). No deathsoccurred.All complications were resolved through traditional treatment. No additional surgery was needed.CONCLUSION: Sleeve-wrapping of the pedicled omentum around esophagogastric anastomosis after esophagectomy is safe and effective for preventing and localizing anastomosis leakage without increasing anastomosis stricture.