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Updated: Aug 20, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Adequate Management of Postoperative Complications after Esophagectomy: A Cornerstone for a Positive Outcome
Imad Kamaleddine1, Alexander Hendricks1, Magdalena Popova1
1Department of General, Visceral, Vascular, Thoracic and Transplantation Surgery, Rostock University Hospital, Schillingallee 35, 18057 Rostock, Germany.
Background:
Esophagectomy for cancer is one of the most complex procedures in visceral surgery. Postoperative complications negatively affect the patient's overall survival. They are not influenced by the histology type (adenocarcinoma (AC)/squamous cell carcinoma (SCC)), or the surgical approach (open, laparoscopic, or robotic-assisted). Among those dreadful complications are anastomotic leak (AL), esophago-respiratory fistula (ERF), and chylothorax (CT).
Methods:
In this review, we summarize the methods to avoid these complications, the diagnostic approach, and new therapeutic strategies.
Results:
In the last 20 years, both centralization of the medical care, and the development of endoscopy and radiology have positively influenced the management of postoperative complications. For the purpose of their prevention, perioperative measures have been applied. The treatment includes conservative, endoscopic, and surgical approaches.
Conclusions:
Post-esophagectomy complications are common. Prevention measures should be known. Early recognition and adequate treatment of these complications save lives and lead to better outcomes.
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