文章撤回:食管切除术后吻合口漏的诊断和处理的变化降低了术后死亡率,改善了患者的预后

Nader El-Sourani, Sorin Miftode, Achim Troja, Fadl Alfarawan, Maximilian Bockhorn
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引用次数: 0

摘要

食管切除术后吻合口漏是术后发病率和死亡率的主要原因。在过去的二十年里,吻合口瘘的诊断和治疗发生了巨大的变化。本研究的目的是强调治疗算法降低术后死亡率的必要性。2010年至2022年间接受Ivor Lewis食管切除术的所有患者均纳入本研究。所有发生吻合口漏的患者均被取出并分为两组,分析2010-2015年和2016-2022年的处理差异。在174名患者中,33名患者发生吻合口瘘。管理上的改变导致了再做手术的显著减少和随后的住院死亡率的降低。我们的数据清楚地表明,优化患者管理是必要的,因为它大大提高了患者的存活率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RETRACTED ARTICLE: Changes in diagnosis and management of anastomotic leakage after esophagectomy for underlying malignancy reduce postoperative mortality and improve patient outcome
Anastomotic leakage after esophagectomy for underlying malignancy is a major cause of postoperative morbidity and mortality. Diagnosis and management of anastomotic leakage has changed drastically over the past two decades. The aim of this study was to highlight the necessity of treatment algorithms to decrease postoperative mortality. All patients who underwent Ivor Lewis esophagectomy between 2010 and 2022 were included in this study. All patients who developed an anastomotic leakage were extracted and divided into two groups to analyze the differences in management between 2010–2015 and 2016–2022. Of 174 patients enrolled in this study, 33 patients developed an anastomotic leakage. Changes in management led to a significant decrease in re-do surgeries and a subsequent decrease in hospital mortality. Our data clearly show that optimizing patient management is a necessity, as it drastically improves patient survival.
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