Analysis Of Risk Factors Of Anastomotic Leakage After McKeown

Objective: By analyzing the risk elements of anastomotic leakage after esophagectomy by analyzing the clinical features of esophageal stomal leak in patients who undergoing thoracic laparoscopy combined with esophagectomy(McKeown)in our center in the past two years.The basic clinical data,postoperative and postoperative data of the two groups were analyzed respectively.The risk factors of postoperative anastomotic fistula were explored by univariate analysis and Logistic multivariate analysis.Propose the corresponding prevention and treatment measures,so as to achieve rapidly detection,early diagnosis,timely treatment,and reduce the length of hospital stay.Methods: In the light of the corresponding admission criteria and exclusion criteria,131 cases were screened from the patients who underwent McKeown surgery from April 2019 to January 2021.In line with the diagnosis of anastomotic leakage after the operation,the patients were grouped into two cords: the fistula group and the non-fistula group.The basic data of the two groups were statistically analyzed,and the risk factors of anastomotic leakage after esophagectomy(McKeown)were searched for after univariate analysis and logistic multivariate analysis.Results: A total of 131 patients with esophagectomy(McKeown)were selected in this study,of which 21 had an anastomotic leakage.The incidence was 21/131(16.0%).The consequences of univariate analysis demonstrated that gender,age,BMI,smoking history,drinking history,hypertension,diabetes,preoperative albumin level,preoperative hemoglobin count,hemoglobin loss,the length of thorax esophagus,the length of gastric tube,had Not statistically significant(p>0.05).There are statistical differences in neoadjuvant treatment,operation time,the length of gastric tube / the length of thorax esophagus,preoperative lymphocyte count,PNI value.(p<0.05)Conclusions: Esophageal carcinoma is a comprehensive treatment with surgery as the main treatment.Surgical complications,especially anastomotic leakage affect the patient’s quality of life after surgery.The analysis of this study found that neoadjuvant therapy and operation time are independent risk factors for postoperative esophageal cancer.Therefore,improving surgical skills,increasing surgical cooperation,delineating the radiotherapy target area,and increasing patient nutritional support can effectively decrease the occurrence rate of postoperative anastomotic leakage,To achieve rapidly detection,early diagnosis,timely treatment,and reduce the length of hospital stay Improve patient prognosis.