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Oncology Letters
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Print ISSN: 1792-1074 Online ISSN: 1792-1082
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January 2013 Volume 5 Issue 1

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International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

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Article

Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy

  • Authors:
    • Xiao-Hai Li
    • Yi Hu
    • Tie-Hua Rong
    • Xiao-Dong Li
    • Xiao‑Dong  Su
    • Hong Yang
    • Amos Ela Bella
    • Jian-Hua Fu

  • View Affiliations / Copyright

    Affiliations: Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in Southern China, Guangzhou, Guangdong 510060, P.R. China
  • Pages: 198-200
    |
    Published online on: October 8, 2012
       https://doi.org/10.3892/ol.2012.957
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Abstract

Intrathoracic anastomotic leakage following esophagectomy is extremely difficult to manage appropriately. The outcomes of conservative management strategies are often disappointing, particularly in patients who develop adhesions of the pleural cavity and multiloculated empyema. This study describes a novel approach using combined thoracoscopy and gastroscopy in two cases. Thoracoscopy under local anesthesia was used to dissect the septations within the multiloculated empyema and remove the infected focus by direct visualization, and gastroscopy was subsequently performed to place a nasogastric or sump tube around the leak. The outcomes of both procedures were satisfactory: the empyemas almost completely resolved, the anastomotic leak closed quickly and there was adequate lung re-expansion. Accordingly, the combination of thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leak post-esophagectomy may be an effective, safe, minimally-invasive, simple and inexpensive procedure.
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1 

Jiang F, Yu MF, Ren BH, et al: Nasogastric placement of sump tube through the leak for the treatment of esophagogastric anastomotic leak after esophagectomy for esophageal carcinoma. J Surg Res. 171:448–451. 2010. View Article : Google Scholar : PubMed/NCBI

2 

Turkyilmaz A, Eroglu A, Aydin Y, et al: The management of esophagogastric anastomotic leak after esophagectomy for esophageal carcinoma. Dis Esophagus. 22:119–126. 2009. View Article : Google Scholar : PubMed/NCBI

3 

Junemann-Ramirez M, Awan MY, Khan ZM, et al: Anastomotic leakage for esophageal post-esophagogastrectomy carcinoma: retrospective analysis of predictive factors, management and influence on long-term survival in a high volume centre. Eur J Cardiothorac Surg. 27:3–7. 2005.

4 

Tassi GF, Davies RJ and Noppen M: Advanced techniques in medical thoracoscopy. Eur Respir J. 28:1051–1059. 2006. View Article : Google Scholar : PubMed/NCBI

5 

Kern L, Robert J and Brutsche M: Management of parapneumonic effusion and empyema: medical thoracoscopy and surgical approach. Respiration. 82:193–196. 2011. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Li X, Hu Y, Rong T, Li X, Su XD, Yang H, Bella AE and Fu J: Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy. Oncol Lett 5: 198-200, 2013.
APA
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H. ... Fu, J. (2013). Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy. Oncology Letters, 5, 198-200. https://doi.org/10.3892/ol.2012.957
MLA
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H., Bella, A. E., Fu, J."Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy". Oncology Letters 5.1 (2013): 198-200.
Chicago
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H., Bella, A. E., Fu, J."Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy". Oncology Letters 5, no. 1 (2013): 198-200. https://doi.org/10.3892/ol.2012.957
Copy and paste a formatted citation
x
Spandidos Publications style
Li X, Hu Y, Rong T, Li X, Su XD, Yang H, Bella AE and Fu J: Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy. Oncol Lett 5: 198-200, 2013.
APA
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H. ... Fu, J. (2013). Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy. Oncology Letters, 5, 198-200. https://doi.org/10.3892/ol.2012.957
MLA
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H., Bella, A. E., Fu, J."Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy". Oncology Letters 5.1 (2013): 198-200.
Chicago
Li, X., Hu, Y., Rong, T., Li, X., Su, X., Yang, H., Bella, A. E., Fu, J."Medical thoracoscopy and gastroscopy for the treatment of intrathoracic anastomotic leakage following esophagectomy". Oncology Letters 5, no. 1 (2013): 198-200. https://doi.org/10.3892/ol.2012.957
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