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Updated: Jun 10, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
[The management of intra-, and post-operative air-leakage]
1Department of Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan.
Abstract:
The intra-operative air-lekage usually is found in the operation for emphysematous patients with insufficient separation of the lobar fissure. To those, thoracic surgeons should be careful on making a reasonable line of separation between two lobes. Moreover, after the lobectomy the wide lack of visceral pleura should be repaired absolutely by the various techniques. Postoperatively if the air-leakage would be severe, re-thoracotomy will be needed for the closure of the portion of the air-leakage.
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