Successful Management of Thoracic Anastomotic Leakage after Esophagectomy for Esophageal Cancer Using HANAROSTENT^|^reg;^|^mdash;A Report of Two Cases^|^mdash;
食道癌術後胸腔内吻合部縫合不全に対しHANAROSTENT®を用いた2例

Joji YAMAMOTO, Ken SASAKI, Motoki NAGAI, Harufumi MAKINO, Koichi FUJIKAWA, Muga TERASAWA
2013 Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)  
Treatments of major anastomotic leaks range from surgical methods including re-operation to conservative management, but what is the best treatment is still controversial. Herein we present two patients suffering from anastomotic leakage after esophagectomy for esophageal cancer. Both patients underwent thoraco-abdominal subtotal esophagectomy with lymph node dissection. Transthoracic gastroesophagostomy was employed as the reconstruction procedure. Anastomotic leakage occurred
more » ... After unsuccessful conservative management, we used covered selfexpandable and retrievable stents to close the leak. The used stent is HANAROSTENT Ⓡ (M.I. Tech., Seoul, Korea), which is commercially available worldwide. Soon after the placement of the stents, anastomotic leaks were closed, and the stents were removed later without any complications. This device is useful for the treatment of esophagogastric leakage which can be intractable.
doi:10.3919/jjsa.74.3292 fatcat:txtsmvkn7nc3vj6huznqtog5iu