Neck anastomotic leakage after esophageal cancer surgery
Conditions
Interventions
Group 1:Routine nursing dressing for infection
Group 2:Central negative pressure suction combined with intermittent irrigation
Group 3:Negative pressure meter combined with intermittent flushing
Sponsors
Sun Yat-Sen University Cancer Center
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged over 18 years; 2. Patients with upper thoracic or middle thoracic esophagus cancer diagnosed with anastomotic leakage after cervical esophagogastrostomy; (diagnostic criteria for cervical anastomotic leakage: the diagnosis of cervical anastomotic leakage is mainly based on its clinical manifestations and signs, including : (1) Symptoms: fever, chest pain, and chest tightness after surgery; (2) Signs: saliva-like fluid is seen flowing out of the neck, which may be accompanied by a foul odor, and a mixed feeling of gas and liquid around the neck incision is touched by palpation; (3) Auxiliary examination: blood count increased, neutrophil count increased, and nucleus shifted to the left; (4) Positive methylene blue test: oral methylene blue sees blue-stained liquid flowing out of the neck; 3. Patient informed consent.
Exclusion criteria
Exclusion criteria: 1. Combined with thoracic fistula and mediastinal fistula; 2. Combined with sepsis and multiple organ failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anastomotic granulation tissue coverage;Wound healing rate;Wound cleaning time;Anastomotic fistula healing time;Negative pressure treatment cost; | — |
Countries
China
Contacts
Public ContactXin Mingzhu
Sun Yat-Sen University Cancer Center
Outcome results
None listed