Article

Using the supercharge technique to additionally revascularize the gastric tube after a subtotal esophagectomy for esophageal cancer.

Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, 6528 Koibuchi, Tomobe-machi, Ibaraki 309-1793, Japan.
The American Journal of Surgery (impact factor: 2.78). 03/2006; 191(2):284-7. DOI:10.1016/j.amjsurg.2005.04.019 pp.284-7
Source: PubMed

ABSTRACT Maintaining sufficient blood flow to the gastric tube after a subtotal esophagectomy for esophageal cancer is crucial for decreasing esophagogastric anastomotic leakage.
After subtotal esophagectomy for esophageal cancer, the supercharge technique was performed in 21 esophageal reconstruction patients to additionally revascularize the gastric tube using the splenic artery and vein, external carotid artery, and internal jugular vein. Operative results of the supercharge group were retrospectively compared with those of the control group (patients not receiving the technique).
Both operation time and operative blood loss in the supercharge group were significantly longer and larger than those of the control group. However, the incidence of anastomotic leakage was significantly lower in the supercharge group than in the control group.
This practical supercharge technique reduces leakage during esophageal anastomosis.

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Keywords

21 esophageal reconstruction patients
 
anastomotic leakage
 
control group
 
decreasing esophagogastric anastomotic leakage
 
external carotid artery
 
gastric tube
 
internal jugular vein
 
leakage
 
Maintaining sufficient blood flow
 
operation time
 
operative blood loss
 
Operative results
 
practical supercharge technique
 
splenic artery
 
subtotal esophagectomy
 
supercharge technique