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Application of modified neck drainage in the management of cervical anastomotic fistula in esophageal cancer patients

  • 0Department of Thoracic Surgery, Jiangyin People's Hospital, 3 Yingrui Road, Jiangyin, Jiangsu Province, 214400, China.
Journal of Cardiothoracic Surgery +

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April 2, 2025

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April 2, 2025

View abstract on PubMed

Summary

This summary is machine-generated.

Modified cervical drainage offers a promising, less invasive approach for managing cervical anastomotic fistulas after esophageal cancer surgery, leading to faster recovery and reduced costs. Further research is needed to confirm these findings in larger patient groups.

Area Of Science

  • Surgical Oncology
  • Gastrointestinal Surgery
  • Critical Care Medicine

Background

  • Cervical anastomotic fistula is a rare, severe complication following esophageal cancer surgery.
  • Effective management of these fistulas presents significant clinical challenges.

Purpose Of The Study

  • To evaluate the clinical efficacy of a modified cervical drainage technique.
  • To compare this technique against traditional open incision and drainage for cervical anastomotic fistulas in esophageal cancer patients.

Main Methods

  • A comparative study involving 25 esophageal cancer patients with cervical anastomotic fistulas (June 2017-December 2021).
  • 14 patients received modified cervical drainage (observation group); 11 received open incision and drainage (control group).
  • Outcomes including healing time, complications, and costs were analyzed.

Main Results

  • The modified drainage group showed significantly shorter healing times, fewer dressing changes, and reduced hospital stays and costs (P < 0.05).
  • No significant difference in the incidence of neck complications was observed between groups (P > 0.05).
  • All patients achieved a normal diet and uneventful recovery.

Conclusions

  • Modified cervical drainage demonstrates preliminary potential for improving recovery in esophageal cancer patients with cervical anastomotic leakage.
  • Larger sample size studies are required to further validate the efficacy of this treatment method.

Keywords:

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