Title: Postoperative complications of various types of esophagoplasty
- Marta Strutyńska-Karpińska, Krzysztof Grabowski, Jerzy Błaszczuk, Krystyna Markocka-Mączka, Renata Taboła, Barbara ?liwa
- Original articles
- Polish Gastroenterology
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- Final page:
- oesophagoplasty, postoperative complications
Introduction: Reconstructive surgery of the esophagus might be followed by various postoperative complications ranging from a few to a dozen or so percent.
Aim of the study was to analyze the postoperative complications of various types of esophagoplasty.
Material and methods: The paper presents an analysis of postoperative complications in 195 patients of both sexes between 8 and 74 years of age whohad had various types of retrosternal esophagoplasty (2 stomach, 47jejunum, 1 ileum, 1 ileum+cecum, 72 ileum+right colon, 66 rightcolon, 4 left colon, 1 right+left colon). In this group were 89 patients operated because of benign and 106 because of malignant lesion of the esophagus. Results: Postoperative complications occurred in 60 cases (30.7%). There were 19 (9.7%) postoperative deaths. The mostsevere complications, such as partial or total necrosis of the bowel graft, were the cause of death in 4 cases (2.05%), total insufficiency of the cervical anastomosis in 2 cases (1.02%), cardiacor respiratory insufficiency in 4 cases (2.05%), and irreversible postoperative shock in 1 case (0.5%). Of other complications, the most frequent was cervical anastomotic leak (12.8%). More frequent complications were observed after coloplasties (21.01%) and in patients operated because oesophageal cancer (26.6%).
Conclusions: The basic requirement in reconstructive oesophageal surgery is to provide a good blood supply of the transplant. Total or partial necrosis of the transplant is the most dangerous complication after oesophagoplasty. Postoperative complications are more frequently observed after coloplasty and in patients operated because of esophageal cancer.