食管癌术后吻合口漏及其治疗的研究进展

Research progress on anastomotic leak after esophagectomy and its treatment

食管癌是一种常见的消化道恶性肿瘤,手术是食管癌的主要治疗方法之一。吻合口漏是一种食管癌手术后严重的并发症,若无及时有效的治疗,吻合口漏将造成患者短期死亡率提高、食管癌复发风险增高、住院时间延长、治疗费用增加等严重不良影响。吻合口漏的治疗手段包括保守治疗、手术治疗以及内镜治疗,改良的治疗手段能更有效封闭漏口、引流脓腔,改善患者预后。本文就食管癌术后吻合口漏及其治疗现状进行综述。

Esophageal cancer is a common digestive malignant tumor.Surgery is one of the major treatment methods for esophageal cancer.Anastomotic leak is one of the common postoperative complications of esophageal cancer,which will lead to multiple adverse effects such as increased short-term mortality,increased risk of recurrence,prolonged hospital stay and higher costs if not treated properly.The main treatment of anastomotic leak includes conservative treatment,surgical treatment and endoscopic treatment.The improved treatment can more effectively seal the leakage,drain the abscess cavity and improve the prognosis of patients.In this review,we summarized anastomotic leak after esophagectomy and its current treatment progress.