caa a22 4500 445338601 CHVBK 20180317142804.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1245/s10434-011-1835-8 doi (NATIONALLICENCE)springer-10.1245/s10434-011-1835-8 Modified Pleural Tenting for Prevention of Anastomotic Leak After Ivor Lewis Esophagogastrectomy [Elektronische Daten] [Christos Asteriou, Nikolaos Barbetakis, Miltiadis Lalountas, Athanassios Kleontas, Christodoulos Tsilikas] Background: The most dangerous complication following esophagogastrectomy for esophageal cancer is anastomotic leakage. Surgical interventions described did not have a major impact in reducing the risk of occurrence. On the other hand, pleural tenting has been used for more than a decade by thoracic surgeons to prevent prolonged air leak after formal upper lobectomy with excellent results. Methods: A retrospective analysis of 114 cases of esophagogastrectomy for cancer of esophagus or cardioesophageal junction is presented. Patients have been divided in 2 groups. In group B modified pleural tenting was used to prevent a potential anastomotic leak, while in group A, the control group, pleural tenting was not used. Evaluation of modified pleural tenting in preventing anastomotic leakage was the aim of the study. Results: The pleural tenting group showed a significant decrease in anastomotic leak. In 1 patient versus 8 in group without pleural tenting the complication appeared (P = .032). The risk for an anastomotic leakage in group without pleural tenting was almost 9 times greater (odds ratio: 9.143, 95% confidence interval: lower bound 1.104, upper bound 75.708). The 30-day mortality, although lower in pleural tenting group, was not statistically significant. Conclusions: Pleural tenting is a safe, fast, and effective technique for prevention of anastomotic leakage after Ivor Lewis esophagogastrectomy. Subpleural blanketing of intrathoracic anastomosis could diminish the consequences of a possible anastomotic leak. Society of Surgical Oncology, 2011 Asteriou Christos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut Barbetakis Nikolaos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut Lalountas Miltiadis 2nd Propedeutical Department of Surgery, Aristotle University of Thessaloniki, Hippokratio General Hospital, Thessaloniki, Greece aut Kleontas Athanassios Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut Tsilikas Christodoulos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut Annals of Surgical Oncology Springer-Verlag 18/13(2011-12-01), 3737-3742 1068-9265 18:13<3737 2011 18 10434 https://doi.org/10.1245/s10434-011-1835-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1835-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Asteriou Christos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Barbetakis Nikolaos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Lalountas Miltiadis 2nd Propedeutical Department of Surgery, Aristotle University of Thessaloniki, Hippokratio General Hospital, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Kleontas Athanassios Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut NATIONALLICENCE 700 1- Tsilikas Christodoulos Department of Thoracic Surgery, Theagenio Cancer Hospital, Thessaloniki, Greece aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/13(2011-12-01), 3737-3742 1068-9265 18:13<3737 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer