[
Abstract]
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Full Text PDF] （in Japanese / 1428KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 88(9): 1268-1271, 1987
Report on the annual meeting
PROGNOSTICATION AND PREVENTIVE MEASURES OF ANASTOMOTIC LEAKAGE AT ESOPHAGEAL RECONSTRUCTION
Clinically, total 53 patients who, had undergone a reconstructive operation with the stomach were studied after esophagectomy. The findings are summarized as follows. 1) Measurement of the blood flow through the organ for reconstruction of the esophagus during operation with the laser-Doppler velocimetry, and the preparation and clinical application of the flow distribution chart in color image were extremely useful in the assessment of blood supply and prognostication of anastomotic leakage. 2) In all of the upper, middle and lower parts of the closely whole stomach, the leakage group showed markedly reduced blood flows on the average (p＜0.001), compared with the non-leakage group. 3) The broader gastric tube showed significantly greater blood flows, compared with the narrower gastric tube on the greater curvature side. Experimentally, left gastric artery previously-ligated group and seromuscular-layer horizontally-severed group showed significantly greater blood flows in the gastric tube, compared with non-treated control groups.
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